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DR. WILBERT ROY WARREN M.D.
NPI 1548228489
Internal Medicine in Philadelphia, PA

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
1740 SOUTH ST, STE 300, PHILADELPHIA, PA 19146(215) 732-0876(215) 732-4162 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Wilbert Roy Warren M.d. NPPES

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

DR. WILBERT ROY WARREN M.D. (NPI 1548228489) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD058046-L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1993).

NPPES Registry Identity

NPI1548228489
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. WILBERT ROY WARRENCredential: M.D.
Location Address1740 SOUTH ST, STE 300Philadelphia, PA 19146-1514
Mailing Address1740 South St, Ste 300Philadelphia, PA 19146-1514 · (215) 732-0876 · Fax (215) 732-4162
Phone(215) 732-0876
Fax(215) 732-4162
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1993
Enumeration DateMay 2, 2006
Last NPPES UpdateMay 17, 2021
NPPES CertifiedMay 17, 2021
✔ NPI 1548228489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD058046-L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1740 SOUTH ST, Philadelphia, PA 19146
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Other Identifiers 1

Medicaid0016252300010PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Wilbert Roy 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 ID4486658234
PECOS Enrollment IDI20110916000166
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 10

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.
332 services179 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
134 services134 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
68 services67 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
68 services66 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
40 services27 patients
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.
21 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Mercy Catholic Medical Center- Mercy Fitzgerald

Acute Care Hospitals · Darby, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390156
Location1500 Lansdowne AveDarby, PA 19023 · Delaware County
Emergency services

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19146 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers39 claims101 services$5.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers16 claims27 services$1.16 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers16 claims16 services$174.15 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers11 claims11 services$23.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

AMANDA CONROY NAUMANN CRNP
Nurse Practitioner (Pediatrics)
1740 SOUTH ST, SUITE 200
PHILADELPHIA, PA 19146
Philadelphia County (215) 735-5600
CENTER CITY PEDIATRICS
Lactation Consultant, Non-RN
1740 SOUTH ST, SUITE 200
PHILADELPHIA, PA 19146
Philadelphia County (215) 735-5600
DR. REZA MADANI M.D.
Pediatrics
1740 SOUTH ST, SUITE 301
PHILADELPHIA, PA 19146
Philadelphia County (215) 735-5600
GRACE EUNHAY LEE M.D.
Pediatrics
1740 SOUTH ST
PHILADELPHIA, PA 19146
Philadelphia County (215) 735-5600
ELIZABETH JOY ROBINSON M.D.
Pediatrics (Adolescent Medicine)
1740 SOUTH ST, SUITE 200
PHILADELPHIA, PA 19146
Philadelphia County (215) 735-5600
CENTER CITY PEDIATRICS, LLC
Speech-Language Pathologist
1740 SOUTH ST, STE 301
PHILADELPHIA, PA 19146
Philadelphia County (215) 735-5600
DR. GEORGE E BOUDREAU DMD
Dentist
1740 SOUTH ST, STE 504
PHILADELPHIA, PA 19146
Philadelphia County (215) 545-6334
ERIC D BERGER MD
Pediatrics
1740 SOUTH ST, SUITE 301
PHILADELPHIA, PA 19146
Philadelphia County (215) 735-5600

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 Wilbert Warren's NPI number?

The NPI number for Wilbert Warren is 1548228489. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Wilbert Warren located?

Wilbert Warren practices at 1740 South St Ste 300, Philadelphia, PA 19146. The listed phone number is (215) 732-0876.

What is Wilbert Warren's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wilbert Warren enrolled in Medicare?

Yes. Wilbert 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 Wilbert Warren accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Wilbert 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 Wilbert Warren affiliated with any hospitals?

According to CMS data, Wilbert Warren is affiliated with Hospital Of Univ Of Pennsylvania, Mercy Catholic Medical Center- Mercy Fitzgerald, Main Line Hospital Lankenau, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Wilbert Warren was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.