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ERIC THOMAS WARREN MD
NPI 1831220292
Family Medicine - Sports Medicine in Charlotte, NC

Active since March 08, 2007PECOS Enrolled
95.35/100
CMS Quality Rating
11530 PROVIDENCE RD, STE 1300, CHARLOTTE, NC 28277(704) 667-0780 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, May 9, 2023, Mar 13, 2023 and 13 more (16 updates tracked since 2020).

About Eric Thomas Warren Md NPPES

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

ERIC THOMAS WARREN MD (NPI 1831220292) is an individual sports medicine provider in Charlotte, North Carolina, licensed in North Carolina (200500275) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1831220292
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameERIC THOMAS WARRENCredential: MD
Location Address11530 PROVIDENCE RD, STE 1300Charlotte, NC 28277-2691
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 667-0780
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2003
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 15, 202416 updates tracked since enumeration
✔ NPI 1831220292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in NC · 200500275
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 200500275 (NC)
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X · License 200500275 (NC)
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 200500275 (NC)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 200500275 (NC)
11530 PROVIDENCE RD, Charlotte, NC 28277
Open in Google Maps ↗

Secondary Practice Locations 4

Location 15651 Poplar Tent Rd, Ste 102Concord, NC 28027-7686 · Phone (704) 863-4878
Location 25735 Prosperity Crossing Dr, STE 2100Charlotte, NC 28269-1360 · Phone (704) 863-4878
Location 314214 Ballantyne Lake Rd, Ste 150Charlotte, NC 28277-3372 · Phone (704) 863-4878
Location 49726 Sam Furr RdHuntersville, NC 28078-8218 · Phone (704) 863-4878

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric Thomas Warren Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365535903
PECOS Enrollment IDI20070912000483, I20201211000842
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Eric Warren reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc
Same address
Orthopaedic Surgery
11530 PROVIDENCE RD, STE 1300
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • Also billed through NPI 1720242159 (North Carolina), NPI 1043819535 (South Carolina)
  • 2,057 clinicians in this Medicare group
NPI 1437607686 (704) 667-8750
Carolinas Medical Center
2.4 mi
Psychiatry
7825 BALLANTYNE COMMONS PKWY, SUITE 110
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1427303056 (704) 446-8031

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
1,620 services16 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
76 services32 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
61 services37 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.
43 services34 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.
40 services28 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
39 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
88%49 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
73%63 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
50%68 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
57%28 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

CYNTHIA REYNOLDS JAMISON MD
Family Medicine
11530 PROVIDENCE RD
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-0670
SATAVIA SIMONE GASTON NP
Nurse Practitioner
11530 PROVIDENCE RD, STE 1500
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-0760
ELIZABETH ESTELLE HARLAN MD
Family Medicine
11530 PROVIDENCE RD
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-0670
RENU DOSHI MD
Pediatrics
11530 PROVIDENCE RD, STE 2200
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-6735
JACQUELINE MARIE CURLEY PA
Physician Assistant
11530 PROVIDENCE RD
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-0670
JENNIFER LEIGH OSBORNE CNM
Advanced Practice Midwife
11530 PROVIDENCE RD, STE 1500
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-0760
CAROLINAS PHYSICIANS NETWORK INC
Orthopaedic Surgery
11530 PROVIDENCE RD, STE 1300
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-8750
ROBERT PAUL NANTAIS MD
Orthopaedic Surgery
11530 PROVIDENCE RD, STE 1300
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-0780

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 Eric Warren's NPI number?

The NPI number for Eric Warren is 1831220292. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Eric Warren located?

Eric Warren practices at 11530 Providence Rd Ste 1300, Charlotte, NC 28277. The listed phone number is (704) 667-0780.

What is Eric Warren's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Eric Warren enrolled in Medicare?

Yes. Eric Warren is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eric Warren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Warren reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Charlotte, NC) and Carolinas Medical Center (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eric Warren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Warren accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Eric 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 Eric Warren affiliated with any hospitals?

According to CMS data, Eric Warren is affiliated with Atrium Health Pineville and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Eric Warren was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.