Travis Ray Green, DMS, PA-C
NPI 1134693518ActiveIndividual· Physician Assistant· Bloomington, MN
Physician Assistant (DMS, PA-C) with Allina Health System and 1 other group, practicing in Bloomington, Minnesota. In 2024 Medicare paid $20,685 for 222 patients, and Part D covered 435 of their prescriptions, 89% of them generic. Lists Cambridge Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1134693518 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMS, PA-C |
| Sole proprietor | No |
| NPI issued | Jan 18, 2019 |
| Last updated in NPPES | Aug 20, 2026 |
| Certified by provider | Aug 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 12938 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 222 |
|---|---|
| Services billed | 342 across 33 procedure codes |
| Paid by Medicare | $20,685 |
Part D prescriptions in 2024
| Prescriptions (claims) | 435 · 655 30-day fills |
|---|---|
| Patients | 235 |
| Total drug cost | $17,633 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Allina Health SystemNew Ulm, MN · 3,842 clinicians
- Range Regional Health ServicesHibbing, MN · 353 clinicians
Hospital affiliations
- Cambridge Medical CenterCambridge, MN
- Centracare - St. Cloud HospitalSaint Cloud, MN
- Centracare Health - MonticelloMonticello, MN
- Range Regional Health ServicesHibbing, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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