PAUL DOUGLAS WARREN MD
NPI 1205814068
Orthopaedic Surgery in Virginia Beach, VA

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
91.99/100
CMS Quality Rating
1975 GLENN MITCHELL DR, SUITE #200, VIRGINIA BEACH, VA 23456(757) 321-3383(757) 321-3332 Get Directions Write a Review

NPPES record last updated: September 17, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul Douglas Warren Md NPPES

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

PAUL DOUGLAS WARREN MD (NPI 1205814068) is an individual orthopaedic surgery provider in Virginia Beach, Virginia, licensed in Virginia (0101058667) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Harvard Medical School (1991).

NPPES Registry Identity

NPI1205814068
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NamePAUL DOUGLAS WARRENCredential: MD
Location Address1975 GLENN MITCHELL DR, SUITE #200Virginia Beach, VA 23456-0167
Mailing Address230 Clearfield Ave., Suite # 124Virginia Beach, VA 23462-1832 · (757) 321-3383 · Fax (757) 321-3332
Fax(757) 321-3332
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1991
Enumeration DateJanuary 3, 2006
Last NPPES UpdateSeptember 17, 2015
NPI 1205814068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in VA · 0101058667
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 0101058667 (VA)
1975 GLENN MITCHELL DR, Virginia Beach, VA 23456

Other Identifiers 5

OtherC05501VA · Medicare Group
OtherCC7688Railroad Medicare Group#
Medicaid006401490VA
Other200040146Railroad Medicare
Medicare PIN019260V01VA

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

Paul Douglas 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 ID4486702172
PECOS Enrollment IDI20090507000314
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 18

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
943 services165 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.
439 services292 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.
427 services278 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
220 services164 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
220 services148 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
150 services109 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490017
Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County
Emergency services

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23456 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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.

91.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Improvement Activities40
Cost83.99

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.02%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers30 claims33 services$12.84 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
4 suppliers18 claims21 services$4.81 avg. paid by Medicare
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
1 supplier30 claims33 services$113.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Clinic/Center (Ambulatory Surgical)
1975 GLENN MITCHELL DR, SUITE 300
VIRGINIA BEACH, VA 23456
Anesthesiology
1975 GLENN MITCHELL DR, SUITE 300
VIRGINIA BEACH, VA 23456
Pharmacist
1975 GLENN MITCHELL DR, SUITE 104
VIRGINIA BEACH, VA 23456
Physical Therapist
1975 GLENN MITCHELL DR, SUITE 300
VIRGINIA BEACH, VA 23456
Internal Medicine (Pulmonary Disease)
1975 GLENN MITCHELL DR, STE 202
VIRGINIA BEACH, VA 23456
Physical Therapist
1975 GLENN MITCHELL DR, SUITE 200
VIRGINIA BEACH, VA 23456
Pain Medicine (Pain Medicine)
1975 GLENN MITCHELL DR
VIRGINIA BEACH, VA 23456
Optometrist
1975 GLENN MITCHELL DR, 104
VIRGINIA BEACH, VA 23456

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205814068, enumerated as an "individual" on January 03, 2006.

The provider is located at 1975 GLENN MITCHELL DR SUITE #200 VIRGINIA BEACH, VA 23456 and the phone number is (757) 321-3383.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.

Paul Warren is affiliated with: SENTARA NORFOLK GENERAL HOSPITAL, BON SECOURS MARYVIEW MEDICAL CENTER, SENTARA LEIGH HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL and SENTARA PRINCESS ANNE HOSPITAL.