HIRAL R. WARNER M.D.
NPI 1801822218
Obstetrics & Gynecology in Shrewsbury, MA

Active since June 25, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
26 JULIO DR, SHREWSBURY, MA 01545(508) 845-2323 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2020, Mar 4, 2016 (2 updates tracked since 2016).

About Hiral R. Warner M.d. NPPES

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

HIRAL R. WARNER M.D. (NPI 1801822218) is an individual obstetrics & gynecology provider in Shrewsbury, Massachusetts, licensed in Massachusetts (242030) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1801822218
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameHIRAL R. WARNERCredential: M.D.
Location Address26 JULIO DRShrewsbury, MA 01545-3020
Mailing AddressPo Box 415348Boston, MA 02241-5348
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 25, 2006
Last NPPES UpdateNovember 10, 20202 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
NPI 1801822218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MA · 242030
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

26 JULIO DR, Shrewsbury, MA 01545

Other Identifiers 1

Medicaid110083362AMA

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

Hiral R. Warner 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 ID6608914544
PECOS Enrollment IDI20091112000487
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
28 services28 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
13 services13 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01545 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
26 JULIO DR
SHREWSBURY, MA 01545
Obstetrics & Gynecology
26 JULIO DR
SHREWSBURY, MA 01545
Internal Medicine
26 JULIO DR
SHREWSBURY, MA 01545
Internal Medicine
26 JULIO DR
SHREWSBURY, MA 01545
Obstetrics & Gynecology
26 JULIO DR
SHREWSBURY, MA 01545
Internal Medicine
26 JULIO DR
SHREWSBURY, MA 01545
Internal Medicine
26 JULIO DR
SHREWSBURY, MA 01545
Obstetrics & Gynecology
26 JULIO DR
SHREWSBURY, MA 01545

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 Hiral Warner's NPI number?

The NPI number for Hiral Warner is 1801822218. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Where is Hiral Warner located?

Hiral Warner practices at 26 Julio Dr, Shrewsbury, MA 01545. The listed phone number is (508) 845-2323.

What is Hiral Warner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Hiral Warner enrolled in Medicare?

Yes. Hiral Warner 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 Hiral Warner accept?

Health plans from Anthem Blue Cross and Blue Shield list Hiral Warner 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 Hiral Warner affiliated with any hospitals?

According to CMS data, Hiral Warner is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Hiral Warner was last updated on November 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.