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Active NPI 1134165566 Individual Practitioner Male Practitioner

Dr. Michael Lewis Green , MD

Surgery • Fort Worth, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Green, MD is a certified Surgery practicing in Fort Worth, TX. With approximately 30 years of clinical experience since graduating from Indiana University School Of Medicine in 1996, Dr. Green delivers high-quality medical care to the local community at 900 JEROME ST.

Dr. Green is affiliated with Dallas Medical Specialists, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, bypass operation of stomach using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

900 Jerome St
Suite 204

Fort Worth, TX 761043945

Telephone 8177209552
Fax 8179211830
Associated Practice Facility / Clinic
🏢 Robert B, Peak, Dds, Pllc Facility NPI 1972908309

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fort Worth, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +4.8 yrs vs City Avg
City Avg: 25.2 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
77 Specialists

Practicing in Fort Worth, TX (2342 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Green (30 Years) 30 Yrs
Fort Worth Specialty Average (25.2 Years) 25.2 Yrs

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
99213 Established patient office or other outpatient visit, typically 15 minutes
80 39 $157.25 $89.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
11 11 $439.45 $197.96

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX L7736

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
163670603 (TX)
Medicaid State Provider ID
163670602 (TX)
Commercial Insurance / Payer ID Bcbs
8S2322 (TX)

Hospital & Practice Group Affiliations

Dallas Medical Specialists, Pllc

8200 Walnut Hill Ln, Dallas, TX 752314426

Phone: 2143456789

Practice Associates & Co-Workers

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

1 Associated Practitioners
Kristin Kamprath , MPAS PA-C

Physician Assistant

NPI 1225338775

MPASPAC

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 28, 2022

Registered at 900 JEROME ST, SUITE 204, FORT WORTH, TX 761043945 (Tel: 8177209552)

📍
Updated Business Mailing Address January 28, 2022

Registered at 900 JEROME ST, SUITE 204, FORT WORTH, TX 761043945 (Tel: 8177209552)

NPI Profile Active January 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2014

Registered at 900 JEROME STREET, SUITE 204, FORT WORTH, TX 76104 (Tel: 8179129775)

📍
Updated Business Mailing Address January 28, 2014

Registered at 900 JEROME STREET, SUITE 204, FORT WORTH, TX 76104 (Tel: 8179129775)

👤
Provider Name / Credentials Updated January 28, 2014

Recorded as MICHAEL GREEN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2014

Surgery (License #L7736 in TX)

🟢
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: 1134165566
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2006
Last Update: January 28, 2022
Sole Proprietor: No

Mailing Address

900 Jerome St, Suite 204

Fort Worth, TX 761043945

Phone: 8177209552

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.