1. Home
  2. Directory
  3. Vermont
  4. Jericho
  5. Family Medicine
  6. NPI Profile

JOHN TRACY WARREN MD
NPI 1407871684
Family Medicine - Geriatric Medicine in Jericho, VT

Active since July 12, 2006PECOS Enrolled
11 POND VIEW DR, JERICHO, VT 05465(920) 435-1503 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 23, 2022, Dec 21, 2021, Dec 17, 2021 and 1 more (4 updates tracked since 2016).

About John Tracy Warren Md NPPES

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

JOHN TRACY WARREN MD (NPI 1407871684) is an individual geriatric medicine provider in Jericho, Vermont, licensed in Wisconsin (29771-020) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407871684
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameJOHN TRACY WARRENCredential: MD
Location Address11 POND VIEW DRJericho, VT 05465-2030
Mailing Address11 Pond View DrJericho, VT 05465-2030 · (920) 246-6288
Phone(920) 435-1503
Sole ProprietorYes
Enumeration DateJuly 12, 2006
Last NPPES UpdateNovember 23, 20224 updates tracked since enumeration
NPPES CertifiedNovember 23, 2022
✔ NPI 1407871684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in WI · 29771-020
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 29771 (WI)
11 POND VIEW DR, Jericho, VT 05465
Open in Google Maps ↗

Other Identifiers 1

Medicaid31516000WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Tracy Warren Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05465 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone A4312
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$17.45 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier11 claims132 services$2.14 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$6.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 John Warren's NPI number?

The NPI number for John Warren is 1407871684. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is John Warren located?

John Warren practices at 11 Pond View Dr, Jericho, VT 05465. The listed phone number is (920) 435-1503.

What is John Warren's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is John Warren enrolled in Medicare?

Yes. John Warren is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Warren was last updated on November 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.