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Deactivated NPI 1699738013 Deactivated / Inactive NPI Male Practitioner

Dr. David J Green , MD

Pediatrics • Winter Haven, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Green has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 07, 2006
NPI Deactivation Date March 13, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. David Green, MD was a registered Pediatrics practicing in Winter Haven, FL. Throughout an active medical career spanning 19 years, Dr. Green provided care at the practice location at 7000 STATE ROAD 544 until profile deactivation on 2025-03-13.

Historical Medicare Part B clinical services included established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, injection for repair of abnormal muscle drainage tract. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

7000 State Road 544
Suite 7

Winter Haven, FL 338819536

Telephone 8632913732
Fax 8632996287
Associated Practice Facility / Clinic
🏢 David J Green, Md Facility NPI 1396097903

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Winter Haven, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
20 Specialists

Practicing in Winter Haven, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
36.3% 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
91 41 $194.55 $124.81
99213 Established patient office or other outpatient visit, typically 15 minutes
53 22 $136.98 $86.48

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME29242

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 13, 2025

Record deactivated on March 13, 2025

NPI Profile Active July 02, 2010

NPI status registered as active in NPPES database

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Updated Practice Location July 02, 2010

Registered at 7000 STATE ROAD 544, SUITE 7, WINTER HAVEN, FL 338819536 (Tel: 8632913732)

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Updated Business Mailing Address July 02, 2010

Registered at 7000 STATE ROAD 544, SUITE 7, WINTER HAVEN, FL 338819536 (Tel: 8632913732)

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Provider Name / Credentials Updated July 02, 2010

Recorded as DAVID GREEN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2010

Pediatrics (License #ME29242 in FL)

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Initial NPI Registration & Enumeration April 07, 2006

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: 1699738013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2006
Last Update: July 02, 2010
Deactivation Date: March 13, 2025

Mailing Address

7000 State Road 544, Suite 7

Winter Haven, FL 338819536

Phone: 8632913732

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.