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DR. CARON WARNSBY MD
NPI 1255373916
Surgery in Marshall, MI

Active since June 10, 2006PECOS Enrolled
215 E MANSION ST, SUITE 3E, MARSHALL, MI 49068(269) 781-4267(269) 781-2710 Get Directions Write a Review

NPPES record last updated: December 9, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Caron Warnsby Md NPPES

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

DR. CARON WARNSBY MD (NPI 1255373916) is an individual surgery provider in Marshall, Michigan, licensed in Michigan (4301083304) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Wayne County Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1997).

NPPES Registry Identity

NPI1255373916
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. CARON WARNSBYCredential: MD
Location Address215 E MANSION ST, SUITE 3EMarshall, MI 49068-1559
Mailing Address215 E Mansion St, Suite 3eMarshall, MI 49068-1559 · (269) 781-4267 · Fax (269) 781-2710
Phone(269) 781-4267
Fax(269) 781-2710
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1997
Enumeration DateJune 10, 2006
Last NPPES UpdateDecember 9, 2013
✔ NPI 1255373916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 4301083304
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSpecialistTaxonomy 174400000X · License CW083304 (MI)
215 E MANSION ST, Marshall, MI 49068
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Other Identifiers 8

Other020A312720MI · Bcbsm Group Id
Medicare ID-Type Unspecified0N91940MI · Group Number
Medicare ID-Type UnspecifiedN9194001MI · Individual Id
Medicaid4848955MI
Medicare PIN0M98600016MI
Medicaid4605320MI
Medicare PIN0A37669MI
Medicare UPINI07618MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Caron Warnsby Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840278941
PECOS Enrollment IDI20200529000434
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Caron Warnsby reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ella E M Brown Charitable Circle
0.1 mi
Diagnostic Radiology
200 N MADISON ST
Marshall, MI 49068
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
NPI 1043660467 (269) 781-4271
Wayne County Hospital
438 mi
Rural Health
515 W WALL ST
Seymour, IA 52590
  • Reassigned Medicare billing, Iowa enrollment
  • 61 clinicians in this Medicare group
NPI 1780873919 (641) 898-2898
Caldwell Memorial Hospital, Inc.
476 mi
Surgery
401 MULBERRY ST SW, SUITE 202
Lenoir, NC 28645
  • Reassigned Medicare billing, North Carolina enrollment
  • 17 clinicians in this Medicare group
NPI 1376983171 (828) 757-6146
Unc Rockingham Health Care, Inc.
485 mi
Emergency Medical Services
6701 NC HIGHWAY 135
Mayodan, NC 27027
  • Reassigned Medicare billing, North Carolina enrollment
  • 76 clinicians in this Medicare group
NPI 1538664099 (336) 635-6816
Unc Physicians Network, LLC
519 mi
Urology
1236 HUFFMAN MILL RD, SUITE 2550
Burlington, NC 27215
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,337 clinicians in this Medicare group
NPI 1053751586 (336) 584-6300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
51 services32 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.
27 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This 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.
22 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services16 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.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Wayne County Hospital

Critical Access Hospitals · Corydon, IA
OwnershipGovernment - Local
CMS Certification Number161358
Location417 South East StreetCorydon, IA 50060 · Wayne County
Emergency services

Unc Rockingham

Acute Care Hospitals · Eden, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340060
Location117 E Kings HighwayEden, NC 27288 · Rockingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49068 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Reported Quality Measures

Care Plan
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…
49%211 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,291 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%512 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
43%544 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%475 patients5/55-star benchmark: 100%
Patient-Specific Education
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.
58%697 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
31%619 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 91% · 340 patients
Patients tobacco: 8% · 38 patients
78%232 patients4/55-star benchmark: 98%
Provide Patient Access
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…
100%697 patients5/55-star benchmark: 100%
Secure Messaging
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…
13%697 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
32%697 patients
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.

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.

THOMAS NEIDLINGER M.D.
Family Medicine
215 E MANSION ST, SUITE 2A
MARSHALL, MI 49068
Calhoun County (269) 781-1122
CATHERINE A BURTRUM DO
Surgery
215 E MANSION ST, SUITE 3E
MARSHALL, MI 49068
Calhoun County (269) 781-4267
MANSION STREET OBSTETRICS & GYNECOLOGY PC
Obstetrics & Gynecology (Obstetrics)
215 E MANSION ST, SUITE 3D
MARSHALL, MI 49068
Calhoun County (269) 781-1183
DR. MICHAEL J STERRETT M.D.
Otolaryngology
215 E MANSION ST, SUITE 2D
MARSHALL, MI 49068
Calhoun County (269) 789-0015
GUY C POWER M.D.
Internal Medicine (Gastroenterology)
215 E MANSION ST, SUITE 3A
MARSHALL, MI 49068
Calhoun County (269) 789-0025
DR. MARK A WALKER M.D.
Obstetrics & Gynecology
215 E MANSION ST, SUITE 3D
MARSHALL, MI 49068
Calhoun County (269) 781-1183
KARISSA HAWLEY CNM
Advanced Practice Midwife
215 E MANSION ST, SUITE 3D
MARSHALL, MI 49068
Calhoun County (269) 781-1183
DR. JONATHAN MICHAEL ROSS M.D.
Internal Medicine (Gastroenterology)
215 E MANSION ST, SUITE 3A
MARSHALL, MI 49068
Calhoun County (269) 789-0025

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 Caron Warnsby's NPI number?

The NPI number for Caron Warnsby is 1255373916. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Caron Warnsby located?

Caron Warnsby practices at 215 E Mansion St Suite 3E, Marshall, MI 49068. The listed phone number is (269) 781-4267.

What is Caron Warnsby's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Caron Warnsby enrolled in Medicare?

Yes. Caron Warnsby is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Caron Warnsby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caron Warnsby reassigns Medicare benefits to 5 organizations: Ella E M Brown Charitable Circle (Marshall, MI), Wayne County Hospital (Seymour, IA), Caldwell Memorial Hospital, Inc. (Lenoir, NC), Unc Rockingham Health Care, Inc. (Mayodan, NC) and Unc Physicians Network, LLC (Burlington, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caron Warnsby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caron Warnsby accept?

Health plans from Blue Cross and Blue Shield of NC, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Caron Warnsby 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 Caron Warnsby affiliated with any hospitals?

According to CMS data, Caron Warnsby is affiliated with Wayne County Hospital and Unc Rockingham.

When was this NPI record last updated?

The NPPES record for Caron Warnsby was last updated on December 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.