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Dr. Stacy Robin Green , MD

General Practice β€’ Boulder, CO

Active NPI 1558686162 Individual Practitioner Female Practitioner
Practice location in NPPES

825 S Broadway St Ste 100
Boulder, CO 803055932

Call 3037172521 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

825 S Broadway St Ste 100

Boulder, CO 803055932

Telephone 3037172521
Organization at the Same NPPES Address or Phone
Stacy Green Enterprises, Llc Facility NPI 1871262253

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

11 standardized 30-day fills in 2014

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,196 in 2014

The total cost of these prescriptions in 2014, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2014.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Boulder and Colorado

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Green are from 2014.

9 active clinicians are listed under General Practice with a practice address in Boulder, CO (302 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2014), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2014.

CMS Part D Β· Data Year 2014
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Suboxone Buprenorphine Hcl/Naloxone Hcl 11 90 $2,196.44 β€”

Source: CMS Part D by Provider and Drug, 2014; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-22
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES CO DR.0050364

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Psychiatry & Neurology - Psychosomatic Medicine

NUCC Taxonomy Code: 2084P0015X

License # reported to NPPES CO DR.0050364

Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

17 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2025

Psychiatry & Neurology (license number reported to NPPES: CO DR.0050364)

πŸ“
Updated Practice Location October 11, 2025

Registered at 825 S BROADWAY ST STE 100, BOULDER, CO 803055932 (Tel: 3037172521)

πŸ“
Updated Business Mailing Address October 11, 2025

Registered at 825 S BROADWAY ST STE 100, BOULDER, CO 803055932 (Tel: 3037172521)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2025

Counselor

πŸ“
Updated Practice Location January 27, 2021

Registered at 3985 WONDERLAND HILL AVE STE 107, BOULDER, CO 803041038 (Tel: 3037172521)

πŸ“
Updated Business Mailing Address January 27, 2021

Registered at 3985 WONDERLAND HILL AVE STE 107, BOULDER, CO 803041038 (Tel: 3037172521)

πŸ“
Updated Practice Location April 01, 2020

Registered at 3985 WONDERLAND HILL AVE STE 103, BOULDER, CO 803041038 (Tel: 3037172521)

πŸ“
Updated Business Mailing Address April 01, 2020

Registered at 3985 WONDERLAND HILL AVE STE 103, BOULDER, CO 803041038 (Tel: 3037172521)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2020

Counselor

πŸ‘€
Provider Name / Credentials Updated October 26, 2018

Recorded as STACY GREEN, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2018

General Practice (license number reported to NPPES: CO 50364)

βœ…
NPI Profile Active November 29, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 29, 2016

Registered at 100 ARAPAHOE AVE, SUITE 12, BOULDER, CO 803025854 (Tel: 3037172521)

πŸ“
Business Mailing Address (Initial Record) November 29, 2016

Registered at P.O. BOX 3636, BOULDER, CO 803073636 (Tel: 3037172521)

πŸ‘€
Provider Name / Credentials (Initial Record) November 29, 2016

Recorded as STACY LIVINGWELL, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2016

Family Medicine (license number reported to NPPES: CO 50364)

🟒
Initial NPI Registration & Enumeration April 07, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558686162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2010
Last Update: October 22, 2025
Sole Proprietor: Yes

Other General Practices in Boulder

Healthcare providers in Boulder

Mailing Address

825 S Broadway St Ste 100

Boulder, CO 803055932

Phone: 3037172521

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.