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DR. MATTHEW DAVID WARREN M.D.
NPI 1417067828
Family Medicine in Peachtree City, GA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
87.92/100
CMS Quality Rating
255 SMOKERISE TRCE, PEACHTREE CITY, GA 30269(404) 226-4614 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Matthew David Warren M.d. NPPES

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

DR. MATTHEW DAVID WARREN M.D. (NPI 1417067828) is an individual family medicine provider in Peachtree City, Georgia, licensed in Alabama (15483) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Wellstar Spalding Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (1989).

NPPES Registry Identity

NPI1417067828
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATTHEW DAVID WARRENCredential: M.D.
Location Address255 SMOKERISE TRCEPeachtree City, GA 30269-1301
Mailing Address255 Smokerise TrcePeachtree City, GA 30269-1301 · (404) 226-4614
Phone(404) 226-4614
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1989
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 13, 2013
✔ NPI 1417067828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 15483
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
255 SMOKERISE TRCE, Peachtree City, GA 30269
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, 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

Dr. Matthew David Warren 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 ID4385629674
PECOS Enrollment IDI20110104000659
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

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 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.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Spalding Medical Center

Acute Care Hospitals · Griffin, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110031
Location601 South 8th StreetGriffin, GA 30224 · Spalding County
Emergency services Birthing friendly

Warm Springs Medical Center

Critical Access Hospitals · Warm Springs, GA
OwnershipVoluntary non-profit - Other
CMS Certification Number111316
Location5995 Spring StreetWarm Springs, GA 31830 · Meriwether County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30269 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

87.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.99
Improvement Activities40
Cost100

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 Matthew Warren's NPI number?

The NPI number for Matthew Warren is 1417067828. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Matthew Warren located?

Matthew Warren practices at 255 Smokerise Trce, Peachtree City, GA 30269. The listed phone number is (404) 226-4614.

What is Matthew Warren's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Warren enrolled in Medicare?

Yes. Matthew Warren 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 Matthew Warren accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Matthew Warren 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 Matthew Warren affiliated with any hospitals?

According to CMS data, Matthew Warren is affiliated with Wellstar Spalding Medical Center and Warm Springs Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Warren was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.