Mary Kelly Green, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

N1341 Issued in TX

Practice address

204 Gateway N
Suite a
Marble Falls, TX 78654-6361

Phone

(830) 693-5868

Fax

(830) 798-8017

NPI assigned

Nov 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Ophthalmology

Education

University of Texas Medical School at San Antonio, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mary Kelly Green MD PLLCGroup PAC ID 9133381726, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Rollins Brook Hospital, Lampasas, TX, CCN 451323

Merit-based Incentive Payment System (MIPS)

Final score

92.34 of 100Reported as group

Quality

93.69

Improvement activities

40

Cost

82.89

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Mary Kelly Green MD PLLC

  • Ophthalmology Physician
  • Marble Falls, TX
  • NPI 1689947509
  Medicare reassignment Care Compare group NPD Authorized official
• Mary Kelly Green MD PLLC

  • Eyewear Supplier
  • Marble Falls, TX
  • NPI 1790050698
  NPD Authorized official
• Judith a. Kirby, M.D., P.a.

  dba Kirby Eye Center

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1598978553
  NPD (past)

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

• Metroplex Adventist Hospital Inc

  dba AdventHealth Rollins Brook

  • Critical Access Hospital
  • Lampasas, TX
  • NPI 1750392916
  Care Compare affiliation

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1487835617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 GATEWAY N",
            "address_2": "SUITE A",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786546361",
            "telephone_number": "830-693-5868",
            "fax_number": "830-798-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GATEWAY N",
            "address_2": "SUITE A",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786546361",
            "telephone_number": "830-693-5868",
            "fax_number": "830-798-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARY",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N1341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2051849",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jazmin Graff, MD
• Granite Mesa Health Center, LTD. (Granite Mesa Health Center)
• John Edward Gravitt, RPH
• Chad Gray, MD
• Christina Gray, PA-C
• Jordan Griffing, RD, LD, MS
• Guadalupe County Hospital Board (Granite Mesa Health Center)
• Joanna Richter Guenther, FNP-BC, PMHNP-BC
• Jacqueline Alcala Guy, M.D.
• H-E-B, LP (HEB Pharmacy #735)

• Ophthalmology Physician in Marble Falls, TX
• Providers in Marble Falls, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.