Mary Etosha Green, MD
Anatomic Pathology & Clinical Pathology Physician · Manchester, CT
Mary Etosha Green, MD is an anatomic pathology & clinical pathology physician with a practice address in Manchester, Connecticut, and NPI 1154827350, issued on Apr 5, 2018. Check the license (Connecticut 74633, as entered in NPPES) on the Connecticut Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Mary Etosha Green
- Credential
- MD
- Primary taxonomy
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License number
- 74633 CT
Self-reported in NPPES; status is on the state search - Practice location
- 71 Haynes St, Manchester, CT 06040
- Phone
- (860) 646-1222
- Enumerated
- Apr 5, 2018
- Record last updated
- Aug 14, 2023
- Fax
- (866) 623-8110
- Medicare enrollment
- Enrolled (PECOS I20230801001748); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest anatomic pathology & clinical pathology physician records → All 212 in Connecticut → Look up another NPI →
Also registered at 71 Haynes St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Kareem Alexis, MD, MPHStudent in an Organized Health Care Education/Training Program1528624145
- Zonia Ali, MDStudent in an Organized Health Care Education/Training Program1952190399
Verify Mary Etosha Green in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersConnecticut Medical Examining Board
Search for license 74633Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 84.6 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Eastern Connecticut Pathology Consultants, PCHolyoke, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mary Etosha Green among 212 anatomic pathology & clinical pathology physician records in Connecticut
Mary Etosha Green, MD is one of 212 anatomic pathology & clinical pathology physician records with a practice address in Connecticut. 65% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 92% of them.
- NPI issued2018 · 92% of these records are older, 7% newer
- In a Medicare fileYes · 65% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated2018 · median 1999 among the 132 with a school on file
- Record last updated2023 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZP0102X and a Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Anatomic Pathology & Clinical Pathology Physician providers in Connecticut
There are 212 anatomic pathology & clinical pathology physician records in Connecticut.
All 212 in Connecticut → Every provider in Manchester → Anatomic Pathology & Clinical Pathology Physician nationwide →
The 8 anatomic pathology & clinical pathology physician records with the nearest ZIP codes
- Thomas Buck, M.D.Manchester, CT 060401356591788
- Michele Conlon, M.D.Manchester, CT 060401851356208
- Michael Hitchcock, M.D.Manchester, CT 060401275891269
- Taylor Kalomeris, DOManchester, CT 060401245819358
- Dennis O'Neill, M.D.Manchester, CT 060401083679021
- Luke OlsonManchester, CT 060401992123012
- Devbala Patel, M.D.Manchester, CT 060401457316895
- Kevin Pelland, M.D.Manchester, CT 060401548648421
Common questions
What is Mary Etosha Green, MD's NPI number?
Mary Etosha Green, MD's National Provider Identifier (NPI) is 1154827350, issued on Apr 5, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Mary Etosha Green, MD located?
The NPPES record lists a practice address at 71 Haynes St, Manchester, CT, 06040. Phone: (860) 646-1222. Providers update this record themselves, so call before visiting.
How can I verify Mary Etosha Green, MD's license?
NPPES lists Connecticut license number 74633, as entered by the provider. Search the Connecticut Medical Examining Board at https://www.elicense.ct.gov/Lookup/LicenseLookup.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Mary Etosha Green, MD's MIPS final score?
The 2023 MIPS final score is 84.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.