MARK LAWRENCE WARREN PA-C
NPI 1730502048
Physician Assistant - Surgical in Madison, WI

Active since January 23, 2014PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
1 S PARK ST, 6TH FLOOR, MADISON, WI 53715(608) 287-2500(608) 287-2550 Get Directions Write a Review

NPPES record last updated: April 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Lawrence Warren Pa-c NPPES

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

MARK LAWRENCE WARREN PA-C (NPI 1730502048) is an individual surgical provider in Madison, Wisconsin, licensed in Wisconsin (3279-23) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1730502048
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMARK LAWRENCE WARRENCredential: PA-C
Location Address1 S PARK ST, 6TH FLOORMadison, WI 53715-1375
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 287-2550
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 23, 2014
Last NPPES UpdateApril 29, 2015
NPI 1730502048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WI · 3279-23
1 S PARK ST, Madison, WI 53715

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

Mark Lawrence Warren Pa-c 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 ID8820229982
PECOS Enrollment IDI20140402002455
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 8

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
206 services154 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
195 services195 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
191 services152 patients
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.
116 services104 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
99 services90 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.
46 services43 patients

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

Nurse Practitioner
1 S PARK ST
MADISON, WI 53715
Surgery
1 S PARK ST
MADISON, WI 53715
Urology
1 S PARK ST
MADISON, WI 53715
Internal Medicine (Rheumatology)
1 S PARK ST
MADISON, WI 53715
Audiologist
1 S PARK ST
MADISON, WI 53715
Nurse Practitioner
1 S PARK ST
MADISON, WI 53715
Radiology (Diagnostic Radiology)
1 S PARK ST
MADISON, WI 53715
Nurse Practitioner
1 S PARK ST
MADISON, WI 53715

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 Mark Warren's NPI number?

The NPI number for Mark Warren is 1730502048. It was assigned to this individual provider in the NPPES registry on January 23, 2014.

Where is Mark Warren located?

Mark Warren practices at 1 S Park St 6th Floor, Madison, WI 53715. The listed phone number is (608) 287-2500.

What is Mark Warren's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mark Warren enrolled in Medicare?

Yes. Mark 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 Mark Warren accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Mark 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 Mark Warren affiliated with any hospitals?

According to CMS data, Mark Warren is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Mark Warren was last updated on April 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.