DR. MARC A WARMUTH MD
NPI 1265429989
Internal Medicine - Hematology & Oncology in St Augustine, FL

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
121 WHITEHALL DR, ST AUGUSTINE, FL 32086(904) 825-4500(904) 825-3672 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Marc A Warmuth Md NPPES

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

DR. MARC A WARMUTH MD (NPI 1265429989) is an individual hematology & oncology provider in St Augustine, Florida, licensed in Florida (ME 73421) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of University Of Texas Medical School At Houston (1991).

NPPES Registry Identity

NPI1265429989
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. MARC A WARMUTHCredential: MD
Location Address121 WHITEHALL DRSt Augustine, FL 32086-5266
Mailing Address7751 Belfort Pkwy Ste 350Jacksonville, FL 32256-6951 · (904) 363-2113 · Fax (904) 538-3672
Fax(904) 825-3672
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1991
Enumeration DateSeptember 29, 2005
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
NPI 1265429989 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 FL · ME 73421
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.
121 WHITEHALL DR, St Augustine, FL 32086

Other Identifiers 4

Other41977FL · Bcbs
Medicaid255201900FL
Other248299FL · Avmed
Other5406652FL · Aetna

Accepted 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

Dr. Marc A Warmuth 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 ID1557269073
PECOS Enrollment IDI20031222000587
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 46

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
35,900 services261 patients
Injection, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
20,250 services14 patients
Injection, fosaprepitant, 1 mg J1453
Fosaprepitant is an anti-nausea medication given via injection. It's often used to prevent nausea and vomiting caused by chemotherapy. This injection blocks signals to the brain that trigger these symptoms, helping you feel better.
4,050 services13 patients
Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
2,239 services107 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,740 services18 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,630 services38 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
100%371 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%490 patients4/55-star benchmark: 100%
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 2

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier16 claims1,395 services$0.61 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$19.01 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 6

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

Internal Medicine (Hematology & Oncology)
121 WHITEHALL DR
ST AUGUSTINE, FL 32086
Internal Medicine (Hematology & Oncology)
121 WHITEHALL DR
ST AUGUSTINE, FL 32086
Internal Medicine (Hematology & Oncology)
121 WHITEHALL DR
ST AUGUSTINE, FL 32086
Internal Medicine (Hematology & Oncology)
121 WHITEHALL DR
ST AUGUSTINE, FL 32086
Nurse Practitioner (Pediatrics)
121 WHITEHALL DR
ST AUGUSTINE, FL 32086
Social Worker (Clinical)
121 WHITEHALL DR
ST AUGUSTINE, FL 32086

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 Marc Warmuth's NPI number?

The NPI number for Marc Warmuth is 1265429989. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Marc Warmuth located?

Marc Warmuth practices at 121 Whitehall Dr, St Augustine, FL 32086. The listed phone number is (904) 825-4500.

What is Marc Warmuth's specialty?

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

Is Marc Warmuth enrolled in Medicare?

Yes. Marc Warmuth 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 Marc Warmuth accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and Oscar Health Maintenance Organization of Florida and 1 other insurer list Marc Warmuth 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 Marc Warmuth affiliated with any hospitals?

According to CMS data, Marc Warmuth is affiliated with Baptist Health Medical Center - Jacksonville, Flagler Hospital, Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Marc Warmuth was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.