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GERALD C WARREN MD
NPI 1063417228
Specialist in Summerville, SC

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
85 SPRINGVIEW LN UNIT A, SUMMERVILLE, SC 29485(843) 851-0200(843) 851-9398 Get Directions Write a Review

NPPES record last updated: June 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gerald C Warren Md NPPES

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

GERALD C WARREN MD (NPI 1063417228) is an individual specialist in Summerville, South Carolina, licensed in South Carolina (15402) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (1985).

NPPES Registry Identity

NPI1063417228
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameGERALD C WARRENCredential: MD
Location Address85 SPRINGVIEW LN UNIT ASummerville, SC 29485-8119
Mailing Address85a Springview LaneSummerville, SC 29485 · (843) 851-0200 · Fax (843) 851-9398
Phone(843) 851-0200
Fax(843) 851-9398
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1985
Enumeration DateJune 15, 2005
Last NPPES UpdateJune 6, 2011
✔ NPI 1063417228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 15402
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
85 SPRINGVIEW LN UNIT A, Summerville, SC 29485
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Other Identifiers 5

MedicaidTL3921SC
Medicare UPINE83196SC
MedicaidGP0766SC
Other020021063SC · Railroad Medicare
Medicare ID-Type UnspecifiedE831964440SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Gerald C Warren Md 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 ID9234118456
PECOS Enrollment IDI20110801000287
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 5

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This 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.
47 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This 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.
26 services15 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
22 services22 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
14 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
14 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
43%120 patients2/55-star benchmark: 90%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Gerald Warren's NPI number?

The NPI number for Gerald Warren is 1063417228. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Gerald Warren located?

Gerald Warren practices at 85 Springview Ln Unit A, Summerville, SC 29485. The listed phone number is (843) 851-0200.

What is Gerald Warren's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Gerald Warren enrolled in Medicare?

Yes. Gerald 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 Gerald Warren accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Gerald 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.

Is Gerald Warren affiliated with any hospitals?

According to CMS data, Gerald Warren is affiliated with Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Gerald Warren was last updated on June 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.