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WARREN V CARRIGAN III MD
NPI 1326282153
Psychiatry & Neurology - Neurology in Neptune Beach, FL

Active since April 23, 2009PECOS EnrolledAccepts Medicare Assignment
90.48/100
CMS Quality Rating
632 MAGNOLIA ST, NEPTUNE BEACH, FL 32266(904) 860-3761(904) 249-9764 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 30, 2024, Nov 16, 2015 (2 updates tracked since 2015).

About Warren V Carrigan Iii Md NPPES

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

WARREN V CARRIGAN III MD (NPI 1326282153) is an individual neurology provider in Neptune Beach, Florida, licensed in Florida (ME107691) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Manatee Memorial Hospital, and is a graduate of Florida State University College Of Medicine (2009).

NPPES Registry Identity

NPI1326282153
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameWARREN V CARRIGAN IIICredential: MD
Location Address632 MAGNOLIA STNeptune Beach, FL 32266-3734
Mailing AddressPo Box 49237Jacksonville Beach, FL 32240-9237 · (904) 860-3761 · Fax (888) 533-3178
Phone(904) 860-3761
Fax(904) 249-9764
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 2009
Enumeration DateApril 23, 2009
Last NPPES UpdateJuly 18, 20252 updates tracked since enumeration
NPPES CertifiedJuly 18, 2025
✔ NPI 1326282153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in FL · ME107691
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
632 MAGNOLIA ST, Neptune Beach, FL 32266
Open in Google Maps ↗

Other Identifiers 2

Medicaid008928800FL
OtherP01233477FL · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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

Warren V Carrigan Iii 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 ID2466690847
PECOS Enrollment IDI20130729000477, I20230721000832, I20240402001060, I20250317001228
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 5

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 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.
103 services85 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.
37 services34 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
36 services36 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
17 services17 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Manatee Memorial Hospital

Acute Care Hospitals · Bradenton, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100035
Location206 2nd St EBradenton, FL 34208 · Manatee County
Emergency services Birthing friendly

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

Methodist Jennie Edmundson

Acute Care Hospitals · Council Bluffs, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160047
Location933 East Pierce StreetCouncil Bluffs, IA 51503 · Pottawattamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32266 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
$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.

90.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.5
Promoting Interoperability95.74
Improvement Activities40

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 Warren Carrigan's NPI number?

The NPI number for Warren Carrigan is 1326282153. It was assigned to this individual provider in the NPPES registry on April 23, 2009.

Where is Warren Carrigan located?

Warren Carrigan practices at 632 Magnolia St, Neptune Beach, FL 32266. The listed phone number is (904) 860-3761.

What is Warren Carrigan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Warren Carrigan enrolled in Medicare?

Yes. Warren Carrigan 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 Warren Carrigan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 11 other insurers list Warren Carrigan 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 Warren Carrigan affiliated with any hospitals?

According to CMS data, Warren Carrigan is affiliated with Manatee Memorial Hospital, Baptist Health Medical Center - Jacksonville and Methodist Jennie Edmundson.

When was this NPI record last updated?

The NPPES record for Warren Carrigan was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.