FRED H WARKENTINE MD
NPI 1336125897
Pediatrics - Pediatric Emergency Medicine in Lexington, KY

Active since December 16, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1000 S LIMESTONE, LEXINGTON, KY 40536(859) 323-5901(859) 323-3040 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2024, Apr 10, 2020, Jun 30, 2017 (3 updates tracked since 2017).

About Fred H Warkentine Md NPPES

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

FRED H WARKENTINE MD (NPI 1336125897) is an individual pediatric emergency medicine provider in Lexington, Kentucky, licensed in Kentucky (37810) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1336125897
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameFRED H WARKENTINECredential: MD
Location Address1000 S LIMESTONELexington, KY 40536-1821
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116
Fax(859) 323-3040
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2000
Enumeration DateDecember 16, 2005
Last NPPES UpdateApril 12, 20243 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
NPI 1336125897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in KY · 37810
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 37810 (KY)
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 37810 (KY)
Also ListedPediatricsTaxonomy 208000000X · License 37810 (KY)
1000 S LIMESTONE, Lexington, KY 40536

Secondary Practice Location 1

Location 1231 E Chestnut StLouisville, KY 40202-1821 · Phone (859) 323-5901

Other Identifiers 2

Medicaid200465070IN
Medicaid64077811KY

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

Fred H Warkentine 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 ID2163311515
PECOS Enrollment IDI20040312001066
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
53 services53 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
37 services36 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

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
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Pulmonary Disease)
1000 S LIMESTONE
LEXINGTON, KY 40536
Physician Assistant
1000 S LIMESTONE
LEXINGTON, KY 40536
Physician Assistant
1000 S LIMESTONE
LEXINGTON, KY 40536
Pharmacist
1000 S LIMESTONE
LEXINGTON, KY 40536
Pharmacist
1000 S LIMESTONE
LEXINGTON, KY 40536
Specialist/Technologist, Other (Surgical Assistant)
1000 S LIMESTONE
LEXINGTON, KY 40536
Physician Assistant
1000 S LIMESTONE
LEXINGTON, KY 40536
Nurse Practitioner (Acute Care)
1000 S LIMESTONE
LEXINGTON, KY 40536

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 Fred Warkentine's NPI number?

The NPI number for Fred Warkentine is 1336125897. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Fred Warkentine located?

Fred Warkentine practices at 1000 S Limestone, Lexington, KY 40536. The listed phone number is (859) 323-5901.

What is Fred Warkentine's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Fred Warkentine enrolled in Medicare?

Yes. Fred Warkentine 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 Fred Warkentine accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Fred Warkentine 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 Fred Warkentine affiliated with any hospitals?

According to CMS data, Fred Warkentine is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Fred Warkentine was last updated on April 12, 2024. 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.