Individual provider Active NPI

Gearin A Green, M.D.

  • Orthopaedic Surgery Physician
  • Appleton, WI
National Provider Identifier
1871806315
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
73593 Issued in WI
Practice address
2105 E Enterprise Ave
Appleton, WI 54913-7862
Phone
(920) 560-1000
NPI assigned
Jul 26, 2010
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A149777 CA
Orthopaedic Surgery Physician 207X00000X MT211866 PA
Orthopaedic Surgery Physician 207X00000X 73593 WI Primary

Addresses

Primary practice location

2105 E Enterprise Ave
Appleton, WI 54913-7862

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 830-5900

Other practice location 1

102 Grand Seasons Dr Ste 1
Waupaca, WI 54981-8298
Phone (920) 560-1000

Other identifiers 1

IdentifierTypeStateIssuer
1871806315MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20200811001111 WI Practitioner - Orthopedic Surgery 9739310111 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Wisconsin, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic and Sports Institute of the Fox Valley S CGroup PAC ID 8628089331, 13 clinicians
Froedtert Manitowoc Medical Group, LLCGroup PAC ID 2365836954, 156 clinicians
Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians

Practice addresses (Care Compare)

102 Grand Seasons Dr
Suite 1
Waupaca, WI 54981-8298
Phone (920) 560-1000

1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436

1650 S 41St St
Manitowoc, WI 54220-7316
Phone (920) 320-2011

2300 Western Ave
Manitowoc, WI 54220-3712
Phone (920) 320-2011

2400 E Capitol Dr
Appleton, WI 54911-8728
Phone (920) 831-5050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue105
Removal or shaving of skin growth39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A149777CAMDOrthopaedic Surgery Physician
MT211866PAMDOrthopaedic Surgery Physician
73593WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thedacare, Incorporated CurrentSince Jan 1, 2025 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Oct 22, 2022 Accepting new patients

Locations

2400 E Capitol Dr
Appleton, WI 54911
Phone (920) 731-4101

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

1650 S 41st St
Manitowoc, WI 54220
Phone (920) 320-3100

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

Interoperability endpoints

  • Direct secure messaging: ggreen299155@direct.thedacare.org
  • Direct secure messaging: ggreen561689@direct.froedtert.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1871806315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070",
            "telephone_number": "920-830-5900",
            "fax_number": "920-830-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E ENTERPRISE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137862",
            "telephone_number": "920-560-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Grand Seasons Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549818298",
            "country_code": "US",
            "telephone_number": "920-560-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "GEARIN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A149777",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MT211866",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "73593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871806315",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.