DR. THOMAS R. WARREN II M.D. NPI 1669458030

Surgery in Temple, TX

Individual Male Surgery PECOS Enrolled

About DR. THOMAS R. WARREN II M.D.

Thomas Warren is a provider established in Temple, Texas and his medical specialization is Surgery. The NPI number of Thomas Warren is 1669458030 and was assigned on December 2005. The practitioner's primary taxonomy code is 208600000X with license number J8824 (TX). The provider is registered as an individual and his NPI record was last updated 11 years ago.

A surgeon like Dr. Thomas R. Warren Ii M.d. treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

NPI

1669458030

Provider NameDR. THOMAS R. WARREN II M.D.
Provider Location Address2401 S 31ST ST TEMPLE, TX 76508
Provider Mailing AddressPO BOX 847408 DALLAS, TX 75284
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date12-19-2005
Last Update Date07-01-2011



Thomas Warren is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices..

Thomas Warren is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code208600000X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.J8824
License StateTX
Taxonomy DescriptionA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Business Address

DR. THOMAS R. WARREN II M.D.
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
Phone: (254) 724-2111

Get Directions


Mailing Address

DR. THOMAS R. WARREN II M.D.
PO BOX 847408
DALLAS, TX
ZIP 75284
Phone:


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingNo
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 167Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 33Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • 29Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)
  • 18Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8P2631OTHER (01)TXBC/BS
G87655MEDICARE UPIN (02)TX
8C7400MEDICARE ID-TYPE UNSPECIFIED (04)TX
126446101OTHER (01)TXFIRSTCARE COMMERCIAL
126446102MEDICAID (05)TX
201047880OTHER (01)NMPRESBYTERIAN SALUD & HMO
54338026MEDICAID (05)NM
200038640AMEDICAID (05)OK
87792ZOTHER (01)TXHMO BLUE
P00166235MEDICARE ID-TYPE UNSPECIFIED (04)TXRAILROAD
A035OTHER (01)NMTRIWEST

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669458030
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26129851606
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 8 + 5 + 1 + 6 + 0 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1669458030 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992702989MRS. SHERRY MARCELLA ALVARADO RN,MSN,ACNS-BC
Individual
Clinical Nurse Specialist (Adult Health)2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1427017425DR. ANDREJS E. AVOTS-AVOTINS M.D.
Individual
Internal Medicine (Gastroenterology)2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1689633505DR. LAWRENCE BARENHOLTZ M.D.
Individual
Internal Medicine2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1578522553DR. HOLLY E. ATLAS M.D.
Individual
Family Medicine2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1700845617DR. JOSEPH BALTRUN M.D.
Individual
Pediatrics2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1760441539DR. ROBERT H. BRAKEMEIER M.D.
Individual
Obstetrics & Gynecology2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1235198912DR. GEORGE W. BRASHER M.D.
Individual
Allergy & Immunology2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1457310013DR. LOUIS W. ADAMS M.D.
Individual
Ophthalmology2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1104885714DR. DAVID P. CICERI M.D.
Individual
Anesthesiology2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1770542334DR. E. DARRELL CRISP M.D.
Individual
Psychiatry & Neurology (Neurology)2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1710946272DR. LAURA CULP M.D.
Individual
Radiology (Radiation Oncology)2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1164481602DR. WALTER P. DYCK M.D.
Individual
Internal Medicine (Gastroenterology)2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1013976521DR. LUDVICK R. DONNER M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1972562445DR. MONFORD D. CUSTER III M.D.
Individual
Surgery2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1710946090DR. DUDLEY P. BAKER M.D.
Individual
Obstetrics & Gynecology2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1871553099DR. BILL BASS JR. M.D.
Individual
Emergency Medicine2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1093775389DR. JOHN R. ASBURY M.D.
Individual
Pediatrics2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1245290501DR. PETER C. GROTHAUS M.D.
Individual
Surgery (Plastic and Reconstructive Surgery)2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1235199472DR. DANIEL HADLOCK M.D.
Individual
Internal Medicine (Hematology & Oncology)2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111
1356301550DR. JOHN R. BOWLING M.D.
Individual
Internal Medicine2401 S 31ST ST
TEMPLE, TX 76508
(254) 724-2111

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Thomas R. Warren Ii M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.