DR. MARK G WARREN D.P.M
NPI 1457460396
Podiatrist in Boynton Beach, FL
NPI Status: Active since August 30, 2006
Contact Information
1325 S CONGRESS AVE
SUITE 108
BOYNTON BEACH, FL
ZIP 33426
Phone: (561) 369-3300
Fax: (561) 734-2811
- Individual
- Male
- Years of Experience 48
- Podiatrist
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About MARK WARREN
This page provides the complete NPI Profile along with additional information for Mark Warren, a provider established in Boynton Beach, Florida with a medical specialization in Podiatrist and more than 48 years of experience. The healthcare provider is registered in the NPI registry with number 1457460396 assigned on August 2006. The practitioner's primary taxonomy code is 213E00000X with license number PO1194 (FL). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1457460396
- Provider Name
- DR. MARK G WARREN D.P.M
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1325 S CONGRESS AVE SUITE 108 BOYNTON BEACH, FL 33426
- Location Phone
- (561) 369-3300
- Location Fax
- (561) 734-2811
- Mailing Address
- 821 S.W. 36TH AVE BOYNTON BEACH, FL 33435
- Mailing Phone
- (561) 369-3300
- Mailing Fax
- (561) 734-2811
- Medical School Name
- OTHER
- Graduation Year
- 1978
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-30-2006
- Last Update Date
- 07-25-2013
- Code Navigator
A podiatrist like Mark Warren provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist
- Taxonomy Code
- 213E00000X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- PO1194
- License State
- FL
- Taxonomy Description
- A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2025) - HMO
- AvMed Entrust Silver 550 (2025) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2025) - HMO
- AvMed Entrust Silver Standard (2025) - HMO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 87849V | MEDICARE PIN (08) | FL | |
| T-55572 | MEDICARE UPIN (02) | ||
| 04125710-0 | MEDICAID (05) | FL | |
| 4476330001 | MEDICARE NSC (07) |
Medicare Participation & PECOS Enrollment Status
Mark Warren is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Mark Warren is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8921087982
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20040714001387
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Application of chemical to stop tissue regrowth in wound
Drainage of blood or fluid accumulation
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
Removal of muscle and/or tissue, 20.0 sq cm or less
Removal of skin and tissue, 20.0 sq cm or less
Removal of skin and tissue, each additional 20.0 sq cm or less
Removal of tissue from wound, 20.0 sq cm or less
This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.
This service was performed 47 times for 31 patientsThis procedure involves removing excess fluid or blood that has collected in the body due to injury, infection, or disease. A small tube is inserted into the affected area to drain the fluid, which can help reduce pain and promote healing.
This service was performed 17 times for 12 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 13 times for 12 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 256 times for 104 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 132 times for 65 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 56 times for 56 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 65 times for 65 patientsThis is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
This service was performed 52 times for 46 patientsThis procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
This service was performed 90 times for 32 patientsThis procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
This service was performed 342 times for 109 patientsThis procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
This service was performed 130 times for 37 patientsThis procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
This service was performed 23 times for 19 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.92 for a new patient copayment and $18.25 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 33426 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $91.69
- Minimum New Patient Price $58.56
- Maximum New Patient Price $179.05
- Average New Patient Copayment $22.92
- Minimum New Patient Copayment $14.64
- Maximum New Patient Copayment $44.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73
- Minimum Established Patient Price $18.44
- Maximum Established Patient Price $144.68
- Average Established Patient Copayment $18.25
- Minimum Established Patient Copayment $4.61
- Maximum Established Patient Copayment $36.17
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care Plan | 93% | 559 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 61% | 119 |
| Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing | ||
| e-Prescribing | 93% | 223 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Patient-Specific Education | 85% | 697 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Pneumococcal Vaccination Status for Older Adults | 92% | 461 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 96% | 547 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 74% | 697 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 60% | 697 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mark Warren is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| DELRAY MEDICAL CENTER | 5352 LINTON BLVD DELRAY BEACH, FL 33484 | (561) 495-3100 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 5 | 7 | 4 | 6 | 0 | 3 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 8 | 6 | 0 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 8 + 6 + 0 + 3 + 1 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1457460396 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699700070 | BARRY N GACH MD Individual | Internal Medicine (Gastroenterology) | 1325 S CONGRESS AVE SUITE 211 BOYNTON BEACH, FL 33426 (561) 732-2900 |
| 1144255530 | MARK R DOSCH MD Individual | Internal Medicine (Gastroenterology) | 1325 S CONGRESS AVE SUITE 211 BOYNTON BEACH, FL 33426 (561) 732-2900 |
| 1174549216 | DR. STEVEN D JAFFE DPM Individual | Podiatrist | 1325 S CONGRESS AVE #108 BOYNTON BEACH, FL 33426 (561) 734-3960 |
| 1376566406 | MS. ELLEN SLOAN M.S.,CCC-A Individual | Audiologist | 1325 S CONGRESS AVE STE.107 BOYNTON BEACH, FL 33426 (561) 742-7559 |
| 1801992409 | VASCULAR IMAGING ASSOCIATES INC Organization | Specialist/Technologist Cardiovascular (Sonography) | 1325 S CONGRESS AVE SUITE 108 BOYNTON BEACH, FL 33426 (561) 737-0703 |
| 1770609257 | SHERRI W PINSLEY D.O Individual | Pain Medicine (Pain Medicine) | 1325 S CONGRESS AVE SUITE 207 BOYNTON BEACH, FL 33426 (561) 752-5776 |
| 1760503015 | INJURY TREATMENT CENTER OF BOYNTON BEACH INC Organization | General Practice | 1325 S CONGRESS AVE BOYNTON BEACH, FL 33426 (561) 736-8060 |
| 1891817730 | MRS. JANET KOWALSKI A.R.N.P. Individual | Nurse Practitioner (Women's Health) | 1325 S CONGRESS AVE BOYNTON BEACH, FL 33426 (561) 734-4545 |
| 1336328046 | PEDIATRIC MD SERVICES, LLC Organization | Pediatrics | 1325 S CONGRESS AVE SUITE 109 BOYNTON BEACH, FL 33426 (561) 736-2510 |
| 1265696181 | MS. BRENDA ANN FORREST MT Individual | Chiropractor | 1325 S CONGRESS AVE SUITE 105-106 BOYNTON BEACH, FL 33426 (561) 736-8060 |
| 1619129996 | GERARDO ZLOCZOVER MD PA Organization | Anesthesiology (Pain Medicine) | 1325 S CONGRESS AVE SUITE 101 BOYNTON BEACH, FL 33426 (561) 737-5301 |
| 1235379280 | DR. MADELEINE ANN DUPREE M.D. Individual | Internal Medicine | 1325 S CONGRESS AVE SUITE 211 BOYNTON BEACH, FL 33426 (561) 732-9722 |
| 1235363508 | COUNTY WIDE FOOT ANKLE AND WOUND CARE ASSOCIATES LLC Organization | Podiatrist | 1325 S CONGRESS AVE SUITE 108 BOYNTON BEACH, FL 33426 (561) 734-3960 |
| 1215165436 | JOB DORCIL MD PA Organization | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 1325 S CONGRESS AVE SUITE #114 BOYNTON BEACH, FL 33426 (561) 721-7111 |
| 1811216211 | MRS. DOREEN MILLICENT WEIR PRICE LMT Individual | Massage Therapist | 1325 S CONGRESS AVE SUITE 105 BOYNTON BEACH, FL 33426 (561) 736-8060 |
| 1841502861 | GI DOCS S FLORIDA Organization | Internal Medicine (Gastroenterology) | 1325 S CONGRESS AVE SUITE 211 BOYNTON BEACH, FL 33426 (561) 732-2900 |
| 1528365715 | FLORIDA WOMAN CARE, LLC Organization | Obstetrics & Gynecology | 1325 S CONGRESS AVE SUITE 115-116 BOYNTON BEACH, FL 33426 (561) 734-4545 |
| 1558631952 | CARMION POPE PA Organization | Acupuncturist | 1325 S CONGRESS AVE SUITE 207 BOYNTON BEACH, FL 33426 (561) 200-4433 |
| 1588922355 | MS. JEANNIE M SPATARO Individual | Contractor | 1325 S CONGRESS AVE SUITE 105 BOYNTON BEACH, FL 33426 (561) 736-8060 |
| 1114287232 | DR. YORACXIS DURAND Individual | Specialist/Technologist, Other (Surgical Assistant) | 1325 S CONGRESS AVE SUITE101 BOYNTON BEACH, FL 33426 (561) 737-5301 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457460396, enumerated in the NPI registry as an "individual" on August 30, 2006
The provider is located at 1325 S Congress Ave Suite 108 Boynton Beach, Fl 33426 and the phone number is (561) 369-3300
The provider's speciality is Podiatrist with taxonomy code 213E00000X
The provider has more than 48 years of experience.
The provider might be accepting Accepts: AvMed, Florida Blue (BlueCross BlueShield FL),. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $91.69 with an average copayment of $22.92 for new patient appointments. Established patients should expect a typical charge of $73 and an average copayment of 18.25. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Application of chemical to stop tissue regrowth in wound, Drainage of blood or fluid accumulation, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and, Removal of muscle and/or tissue, 20.0 sq cm or less, Removal of skin and tissue, 20.0 sq cm or less, Removal of skin and tissue, each additional 20.0 sq cm or less and Removal of tissue from wound, 20.0 sq cm or less.
The practitioner is affiliated to the following hospital(s): DELRAY MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on August 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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