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DR. MICHAEL ALAN WARNER M.D
NPI 1265458293
Ophthalmology in Lake Mary, FL

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
85.06/100
CMS Quality Rating
766 N SUN DR STE 3090, LAKE MARY, FL 32746(541) 561-5373(407) 264-6877 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2023, Jun 5, 2023, Aug 18, 2020 and 2 more (5 updates tracked since 2017).

About Dr. Michael Alan Warner M.d NPPES

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

DR. MICHAEL ALAN WARNER M.D (NPI 1265458293) is an individual ophthalmology provider in Lake Mary, Florida, licensed in Florida (ME123815) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Duke University School Of Medicine (1990).

NPPES Registry Identity

NPI1265458293
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MICHAEL ALAN WARNERCredential: M.D
Location Address766 N SUN DR STE 3090Lake Mary, FL 32746-2555
Mailing Address766 N Sun Dr Ste 3090Lake Mary, FL 32746-2555 · (407) 863-8700 · Fax (407) 264-6877
Phone(541) 561-5373
Fax(407) 264-6877
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1990
Enumeration DateJuly 14, 2006
Last NPPES UpdateSeptember 11, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2023
✔ NPI 1265458293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in FL · ME123815✔ Licensed in OR · MD17533✔ Licensed in CA · C52765
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
766 N SUN DR STE 3090, Lake Mary, FL 32746
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1399 E Highland Ave # 150San Bernardino, CA 92404-3808 · Phone (909) 327-3118 · Fax (909) 327-3119
Location 21070 W Elm StHermiston, OR 97838 · Phone (541) 567-6330 · Fax (541) 564-8744
Location 3160 Boston AveAltamonte Springs, FL 32701-4706 · Phone (407) 834-7776 · Fax (407) 834-0973

Other Identifiers 2

Medicaid073155OR
Other1098177WA · Dshs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Dr. Michael Alan Warner M.d 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 ID3274431499
PECOS Enrollment IDI20070813000763, I20151121000193
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 9

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.
169 services169 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
164 services160 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.
57 services48 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
53 services53 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
51 services44 patients
Injection of chemical for paralysis of nerve muscles on side of face 64612
This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.
21 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32746 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

85.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.2
Promoting Interoperability100
Improvement Activities40
Cost51.02

Other Providers at the Same Location NPPES 2

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

MICHAEL A. WARNER, M.D., P.C.
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
766 N SUN DR STE 3090
LAKE MARY, FL 32746
Seminole County (541) 561-5373
BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC
Prosthetic/Orthotic Supplier
766 N SUN DR STE 3090
LAKE MARY, FL 32746
Seminole County (407) 478-7223

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 Michael Warner's NPI number?

The NPI number for Michael Warner is 1265458293. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Michael Warner located?

Michael Warner practices at 766 N Sun Dr Ste 3090, Lake Mary, FL 32746. The listed phone number is (541) 561-5373.

What is Michael Warner's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Warner enrolled in Medicare?

Yes. Michael Warner 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 Michael Warner accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Molina Healthcare and 1 other insurer list Michael Warner 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 Michael Warner was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.