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Active NPI 1245774397 Individual Practitioner Male Practitioner

Stephen Green , PA-C

Physician Assistant • Prescott, AZ

Professional Overview & Biography Verified Profile Summary

Stephen Green, PA-C is a registered healthcare professional specializing in Physician Assistant in Prescott, AZ. Practice services are available at 1003 WILLOW CREEK RD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1003 Willow Creek Rd

Prescott, AZ 863011641

Telephone 9287715100
Associated Practice Facility / Clinic
🏢 Prescott Anesthesia Pllc Facility NPI 1962409185

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Prescott, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.3 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
52 Specialists

Practicing in Prescott, AZ (3711 Statewide)

Telehealth Adoption Rate
9.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
89.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
30 29 $1277.53 $140.48
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
24 20 $63.00 $6.55
99284 Emergency department visit with moderate level of medical decision making
15 15 $876.00 $98.13
99291 Critical care, first 30-74 minutes
12 11 $1633.92 $172.03

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 6741

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License UT 10126252-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

12000 Big Cottonwood Canyon, Solitude Ski Clinic

Brighton, UT 84121

Phone: 4357767522

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Andrew Garff , MD

Emergency Medicine - Emergency Medical Services

NPI 1487604559

Doctor of Medicine (M.D.)

Domonick Delong

Registered Nurse - Critical Care Medicine

NPI 1790618460

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Physician Assistant (License #10126252-1206 in UT)

NPI Profile Active July 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2017

Registered at 1003 WILLOW CREEK RD, PRESCOTT, AZ 863011641 (Tel: 9287715100)

📍
Updated Business Mailing Address July 27, 2017

Registered at 12000 BIG COTTONWOOD CANYON, SOLITUDE SKI CLINIC, BRIGHTON, UT 84121

👤
Provider Name / Credentials Updated July 27, 2017

Recorded as STEPHEN GREEN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2017

Physician Assistant (License #6741 in AZ)

NPI Profile Active December 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2016

Registered at 12000 BIG COTTONWOOD CANYON, SOLITUDE SKI CLINIC, BRIGHTON, UT 84121 (Tel: 4357767522)

📍
Updated Business Mailing Address December 08, 2016

Registered at 12000 BIG COTTONWOOD CANYON, SOLITUDE SKI CLINIC, BRIGHTON, UT 84121

👤
Provider Name / Credentials Updated December 08, 2016

Recorded as STEPHEN GREEN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2016

Physician Assistant (License #10126252-1206 in UT)

🟢
Initial NPI Registration & Enumeration December 08, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245774397
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2016
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

12000 Big Cottonwood Canyon, Solitude Ski Clinic

Brighton, UT 84121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.