Theodore Green
NPI 1053954776 · Family Nurse Practitioner · Tacoma, WA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Green is a Family Nurse Practitioner provider in Tacoma, WA (NPI 1053954776).
Provider details
- NPI number
- 1053954776
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- AP61015452 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
972 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 275 | $108 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 261 | $14 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 178 | $77 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 105 | $109 |
| Hemoglobin A1c Level83036 | 55 | $10 |
| Injection of Drug Or Substance Under Skin Or Into Muscle |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 60 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 225 | 72 |
| Rosuvastatin Calcium | 165 | 47 |
| Losartan Potassium | 152 | 45 |
| Amlodipine Besylate | 124 | 35 |
| Lisinopril | 116 | 38 |
| Levothyroxine Sodium | 104 | 27 |
| Tamsulosin Hcl |
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-10-25
- Last updated
- 2021-03-18
- Certified
- 2021-03-18
Frequently asked questions
- What is Theodore Green's NPI number?
- Theodore Green's National Provider Identifier (NPI) is 1053954776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Green's specialty?
- Theodore Green is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theodore Green located?
- Theodore Green's practice location on file with NPPES is 3716 Pacific Ave Ste E, Tacoma, WA 98418-7836.
- What is Theodore Green's phone number?
- The practice phone number listed in the NPPES registry for Theodore Green is (253) 474-5141.
- Does Theodore Green accept Medicare?
- Theodore Green is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Green's NPI active?
- Yes — Theodore Green's NPI (1053954776) is active in the NPPES registry as of the last update on 2021-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.