Individual provider Active NPI

Christopher B Green, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Paducah, KY
National Provider Identifier
1265407100
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
36140 Issued in KY
Practice address
1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone
(270) 444-2793
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 36140 KY Primary

Addresses

Primary practice location

1530 Lone Oak Rd
Paducah, KY 42003-7901

Mailing address

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (270) 444-2793

Other practice location 1

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2244

Other identifiers 3

IdentifierTypeStateIssuer
000000602443OtherKYANTHEM BCBS
64093081MedicaidKY
P01044750OtherKYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805001191 KY Practitioner - Pathology 0840261368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Louisville School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Kentucky Specialty Care LLCGroup PAC ID 1456777069, 144 clinicians
Pathology Associates of Paducah, PSCGroup PAC ID 5294636015, 5 clinicians

Practice addresses (Care Compare)

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (888) 696-3541

1532 Lone Oak Rd
Paducah, KY 42003-7942

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2244

Hospital & facility affiliations

  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104

Merit-based Incentive Payment System (MIPS)

Final score
83.87 of 100Reported as group
Quality
67.74
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Nov 3, 2024 Accepting new patients
Pathology Associates of Paducah, PSC Anatomic Pathology & Clinical Pathology CurrentSince Jan 15, 2009 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Nov 3, 2024 Accepting new patients
Mayfield Pathology Services PSC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Mercy Health Physicians Kentucky LLC Past Accepting new patients

Locations

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1265407100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037901",
            "telephone_number": "270-444-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037901",
            "telephone_number": "270-444-2793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420033813",
            "country_code": "US",
            "telephone_number": "270-575-2244",
            "fax_number": "270-415-7130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "36140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000602443",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64093081",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01044750",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.