Doctor profile · Federal record
Dr. Michael Green, D.O.
Pediatric Rehabilitation Medicine Physician · Physical Medicine & Rehabilitation Physician · Pediatric Rehabilitation Medicine Physician · Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician · Student in an Organized Health Care Education/Training Program · Salt Lake City, UT
- NPI 1063665719
- MIPS 100.0 / 100 · 2023
- 18 yrs on file
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
81 N Mario Capecchi Dr, Department of Pediatrics
Salt Lake City, UT 841131125
(801) 213-7737
fax (801) 587-7539
Credentials & registration
- NPI registered
- October 2008 — 18 yrs on file
- Profile last updated
- December 10, 2021
- Specialty taxonomy
- 2081P0010X — NUCC code
- State licenses (3)
- Utah #8728465-1204 · Texas #BP10031712 · Missouri #2011017820
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063665719. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$390
Transactions
6
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ipsen Biopharmaceuticals, Inc | 3 | $134.35 | |
| Merz Pharmaceuticals, LLC | 2 | $134.24 | |
| PIRAMAL CRITICAL CARE | 1 | $121.83 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
74
Patients
0
Total drug cost
$2,245
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Baclofen | Generic | 33 | 0 | $797 |
| Gabapentin | Generic | 14 | 0 | $639 |
| Guanfacine Hcl | Generic | 14 | 0 | $674 |
| Citalopram Hbr (Citalopram Hydrobromide) | Brand | 13 | 0 | $136 |
Frequently asked questions
What is Dr. Michael Green's medical specialty?
Dr. Michael Green practices Pediatric Rehabilitation Medicine Physician in Salt Lake City, UT.
Where does Dr. Michael Green practice?
Dr. Michael Green practices at 81 N Mario Capecchi Dr, Salt Lake City, UT 841131125. Office phone: 8012137737.
What is Dr. Michael Green's NPI?
Dr. Michael Green's National Provider Identifier (NPI) is 1063665719, issued by NPPES.