John Charles Green, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS 005621 L Issued in PA

Practice address

6481 Carlisle Pike
Mechanicsburg, PA 17050-2377

Phone

(717) 516-6396

Fax

(717) 620-8093

NPI assigned

May 27, 2006

Sex

Male

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 7

Medicare fee-for-service enrollment

Enrolled in PA

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

General SurgeryAlso: Plastic and Reconstructive Surgery

Education

Philadelphia College of Osteopathic Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiovascular Specialists of York LLCGroup PAC ID 2466818794, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.08 of 100Reported as group

Quality

76.48

Promoting interoperability

100

Improvement activities

40

Cost

77.12

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.green.1@30025.direct.athenahealth.com

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.

• Cardiovascular Specialists of York LLC

  • Interventional Cardiology Physician
  • Hanover, PA
  • NPI 1972299725
  Medicare reassignment Care Compare group NPD
• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427

  Surgery

  Medicare reassignment NPD
• Pinnacle Health Medical Services

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Mechanicsburg, PA
  • NPI 1043549413

  Surgery

  NPD
• Pinnacle Health Medical Services

  • Gastroenterology Physician
  • Mechanicsburg, PA
  • NPI 1295552073
  NPD
• Surinder Vohra MDPC

  • Medical Oncology Physician
  • York, PA
  • NPI 1588777049
  NPD (past)
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661
  NPD (past)
• Triad Health Services, LLC

  • Plastic Surgery Physician
  • Youngstown, OH
  • NPI 1588925457
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1528015591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6481 CARLISLE PIKE",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502377",
            "telephone_number": "717-516-6396",
            "fax_number": "717-620-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6481 CARLISLE PIKE",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502377",
            "telephone_number": "717-516-6396",
            "fax_number": "717-620-8093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6481 Carlisle Pike",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "17050",
            "country_code": "US",
            "telephone_number": "717-516-6396",
            "fax_number": "717-620-8093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 S Queen St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034630",
            "country_code": "US",
            "telephone_number": "717-851-6110",
            "fax_number": "717-851-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "OH",
            "license": "34 00 5210",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS 005621 L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001007392",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528015591",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA MEDICAID",
            "identifier": "2055449",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125294000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00284946",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE MEDICAID",
            "identifier": "310917085084",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON MEDICAID",
            "identifier": "000000181658",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatiana N. Graham
• James Graziano, DPT
• Benjamin Greb, PA-C
• Courtlin Chase Green
• Jacquelyn Michelle Green, PT
• Kathleen Green
• Valerie Taylor Green, COTA
• Autumn Sharee Greene, CCC/SLP
• Megan M Greevy, RD, LDN
• Jordan Greiner, DPT

• Surgery Physician in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.