Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508802950 Individual Practitioner Male Practitioner

Dr. Kenneth E Green , MD

Surgery • La Grange, KY

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Green, MD is a registered healthcare professional specializing in Surgery in La Grange, KY. Practice services are available at 1025 NEW MOODY LN under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1025 New Moody Ln

La Grange, KY 400319154

Telephone 5022220598
Fax 5022227446
Associated Practice Facility / Clinic
🏢 Northeast Joint Venture, Llc Facility NPI 1669420063

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in La Grange, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
2 Specialists

Practicing in La Grange, KY (495 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.3% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
15 12 $81.00 $40.25

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 24940

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
6424940200 (KY)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Jamie Hubbard , CSA

Specialist/Technologist, Other - Surgical Assistant

NPI 1174837637
Dr. Nicholas Kenney , MD

Orthopaedic Surgery - Sports Medicine

NPI 1558564633

Doctor of Medicine (M.D.)

Dr. Eugene Jacob , MD

Orthopaedic Surgery

NPI 1578587424

Doctor of Medicine (M.D.)

Sarah Clark , APRN

Nurse Practitioner - Family

NPI 1619221884

Advanced Practice Registered Nurse

Julia Seward , CSFA

Specialist/Technologist, Other - Surgical Assistant

NPI 1699380451
Makailyn Schoonover , PA-C

Physician Assistant - Medical

NPI 1851186258

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 02, 2019

Registered at 1025 NEW MOODY LN, LA GRANGE, KY 400319154 (Tel: 5022220598)

📍
Updated Business Mailing Address May 02, 2019

Registered at 2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 402235176 (Tel: 5024896613)

NPI Profile Active August 26, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2014

Registered at 1031 NEW MOODY LN, SUITE 200, LA GRANGE, KY 400319189 (Tel: 5022259877)

📍
Updated Business Mailing Address August 26, 2014

Registered at PO BOX 950248, LOUISVILLE, KY 402950248 (Tel: 5022382801)

👤
Provider Name / Credentials Updated August 26, 2014

Recorded as KENNETH GREEN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2014

Surgery (License #24940 in KY)

🟢
Initial NPI Registration & Enumeration June 22, 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: 1508802950
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2006
Last Update: May 02, 2019
Sole Proprietor: No

Mailing Address

2700 Stanley Gault Pkwy Ste 129

Louisville, KY 402235176

Phone: 5024896613

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.