MATTHEW S WARREN PA
NPI 1306882543
Physician Assistant in Norfolk, VA

Q: What is Matthew Warren's NPI number?

The NPI number for Matthew Warren is 1306882543. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Q: What is Matthew Warren's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Warren was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment

83.76/100

CMS Quality Rating

850 SOUTHAMPTON AVE, NORFOLK, VA 23510(757) 668-9920(757) 668-9930 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Matthew S Warren Pa NPPES

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

MATTHEW S WARREN PA (NPI 1306882543) is an individual physician assistant in Norfolk, Virginia, licensed in Virginia (0110001919) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Chesapeake General Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1306882543

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMATTHEW S WARRENCredential: PA

Location Address850 SOUTHAMPTON AVENorfolk, VA 23510-1021

Mailing Address850 Southampton AveNorfolk, VA 23510-1021 · (757) 668-9920 · Fax (757) 668-9930

Phone(757) 668-9920

Fax(757) 668-9930

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJune 22, 2006

Last NPPES UpdateJuly 24, 2023

NPPES CertifiedJuly 24, 2023

✔ NPI 1306882543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in VA · 0110001919

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

850 SOUTHAMPTON AVE, Norfolk, VA 23510

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Other Identifiers 1

Medicaid010237190VA

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

Matthew S Warren Pa 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 ID3072572361

PECOS Enrollment IDI20041004000184

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 3

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.

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.

68 services50 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

30 services26 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Chesapeake General Hospital

Acute Care Hospitals · Chesapeake, VA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number490120

Location736 Battlefield Blvd, NorthChesapeake, VA 23320 · Chesapeake City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23510 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.

83.76/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.35

Promoting Interoperability

100

Improvement Activities

Cost

77.53

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)

73%33 patients3/55-star benchmark: 100%

Breast Cancer Screening

64%78 patients3/55-star benchmark: 93%

Cervical Cancer Screening

15%149 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

43%51 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

38%186 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

80%101 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

9%32 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

38%32 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

95%461 patients4/55-star benchmark: 100%

e-Prescribing

100%266 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%69 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

28%363 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

95%327 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

26%310 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 99% · 275 patients

Patients screened: 99% · 275 patients

100%43 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

84%256 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

67%69 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 70 patients

Patients totalRate: 14% · 74 patients

18%74 patients3/55-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.

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.

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