Mary Etosha Green, MD
NPI 1154827350ActiveIndividual· Pathology, Anatomic Pathology & Clinical Pathology· Manchester, CT
Pathology, Anatomic Pathology & Clinical Pathology (MD) with Eastern Connecticut Pathology Consultants, PC, practicing in Manchester, Connecticut. Medicare paid $54,815 for services to 441 patients in 2024. Lists Holyoke Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1154827350 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 5, 2018 |
| Last updated in NPPES | Aug 14, 2023 |
| Certified by provider | Aug 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | 74633 | CT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 - Pathology (CT); Practitioner - Pathology (MA); Practitioner - Pathology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 441 |
|---|---|
| Services billed | 1,703 across 30 procedure codes |
| Paid by Medicare | $54,815 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Pathology |
Medical group
- Eastern Connecticut Pathology Consultants, PCManchester, CT · 20 clinicians
Hospital affiliations
- Holyoke Medical CenterHolyoke, MA
- Manchester Memorial HospitalManchester, CT
- Samaritan Medical CenterWatertown, NY
- Umass Memorial Health - Harrington HospitalSouthbridge, MA
- Waterbury HospitalWaterbury, CT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other pathologists in Manchester
- 1356591788
- 1568457893
- 1083679021
- 1124798210
- 1184924102
- 1275891269
- 1457316895
- 1548648421
- 1558326991
- 1942265863
- 1992123012
- 1245819358