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EDUS HOUSTON WARREN III
NPI 1013092840
Internal Medicine - Hematology & Oncology in Seattle, WA

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 288-1000 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edus Houston Warren Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDUS HOUSTON WARREN III (NPI 1013092840) is an individual hematology & oncology provider in Seattle, Washington, licensed in Washington (MD00031024) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1991).

NPPES Registry Identity

NPI1013092840
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameEDUS HOUSTON WARREN III
Location AddressUNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC STSeattle, WA 98195-0001
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 543-6420
Phone(206) 288-1000
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1991
Enumeration DateOctober 27, 2006
Last NPPES UpdateJanuary 28, 2013
✔ NPI 1013092840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in WA · MD00031024
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
UNIVERSITY OF WASHINGTON MEDICAL CTR, Seattle, WA 98195
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Other Identifiers 5

Other0232145WA · L&i
Other2876Internal Id-motor Vehicle Id
Medicare UPING61180
Medicare PINAB00239WA
Medicaid1013092840WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edus Houston Warren Iii is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840482618
PECOS Enrollment IDI20101012000604
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services30 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
36 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENDA M SANDMAIER
Internal Medicine (Hematology & Oncology)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 288-1000
PATRICK C FREENY
Radiology (Diagnostic Radiology)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 598-6214
GEORGE A OJEMANN
Neurological Surgery
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 598-5637
CAROL M BUCHTER
Internal Medicine (Cardiovascular Disease)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 598-4300
MARSHALL SCOTT HORWITZ
Medical Genetics (Clinical Genetics (M.D.))
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 616-2135
CORINNE LINA FLIGNER
Pathology (Anatomic Pathology & Clinical Pathology)
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 598-6400
GREGORY DEMBO
Anesthesiology
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 543-8606
FREDERICK A MATSEN III
Orthopaedic Surgery
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST
SEATTLE, WA 98195
King County (206) 543-3690

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edus Warren's NPI number?

The NPI number for Edus Warren is 1013092840. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Edus Warren located?

Edus Warren practices at University Of Washington Medical Ctr 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 288-1000.

What is Edus Warren's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Edus Warren enrolled in Medicare?

Yes. Edus Warren is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edus Warren accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Edus Warren as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edus Warren was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.