CLINTON CHARLES WARREN M.D.
NPI 1902162076
Ophthalmology - Retina Specialist in Kenosha, WI

Q: What is Clinton Warren's NPI number?

The NPI number for Clinton Warren is 1902162076. It was assigned to this individual provider in the NPPES registry on April 3, 2012.

Q: What is Clinton Warren's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Clinton Warren was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 03, 2012PECOS EnrolledAccepts Medicare Assignment

99.41/100

CMS Quality Rating

5017 GREEN BAY RD STE 148, KENOSHA, WI 53144(262) 420-5888(262) 420-5888 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2022, Jun 28, 2016 (2 updates tracked since 2016).

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About Clinton Charles Warren M.d. NPPES

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

CLINTON CHARLES WARREN M.D. (NPI 1902162076) is an individual retina specialist in Kenosha, Wisconsin, licensed in Wisconsin (61666-20) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Crockett Medical Center, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1902162076

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameCLINTON CHARLES WARRENCredential: M.D.

Location Address5017 GREEN BAY RD STE 148Kenosha, WI 53144-1782

Mailing Address5017 Green Bay Rd Ste 148Kenosha, WI 53144-1782 · (262) 420-5888 · Fax (262) 420-5889

Phone(262) 420-5888

Fax(262) 420-5888

Sole ProprietorNo

Medical School CMSWake Forest University School Of MedicineGraduated 2012

Enumeration DateApril 3, 2012

Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration

NPPES CertifiedAugust 10, 2022

✔ NPI 1902162076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in WI · 61666-20

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

5017 GREEN BAY RD STE 148, Kenosha, WI 53144

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Secondary Practice Location 1

Location 1925 N 87th St, The Eye InstituteMilwaukee, WI 53226-4812 · Phone (414) 456-2020 · Fax (414) 456-6300

Other Identifiers 1

Medicaid1902162076WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clinton Charles 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 ID4688993074

PECOS Enrollment IDI20160711001305

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

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

Third Coast Retina S.C.

Same address

Retina Specialist

5017 GREEN BAY RD STE 148
Kenosha, WI 53144

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Third Coast Retina Sc

NPI 1831823921 (262) 420-5888

The Medical College Of Wisconsin, Inc.

32 mi

Internal Medicine

8701 WATERTOWN PLANK RD
Milwaukee, WI 53226

Reassigned Medicare billing, Wisconsin enrollment
3,983 clinicians in this Medicare group

NPI 1699720086 (414) 955-7101

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 16

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

18,432 services95 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

1,032 services392 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

487 services135 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.

374 services237 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

236 services52 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

190 services150 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

178 services178 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

87 services87 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.

79 services65 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

62 services58 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

27 services24 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

25 services22 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

19 services12 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

17 services17 patients

Removal of membrane of retina 67041

Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.

12 services12 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Crockett Medical Center

Critical Access Hospitals · Crockett, TX

OwnershipPhysician

CMS Certification Number451393

Location1100 E Loop 304Crockett, TX 75835 · Houston County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53144 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

99.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

98.82

Improvement Activities

Reported Quality Measures

Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery

81%21 patients4/55-star benchmark: 99%

Diabetes: Eye Exam

88%164 patients4/55-star benchmark: 100%

Diabetic Macular Edema - Loss of Visual Acuity

100%40 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 616 patients

Patients totalRate: 0% · 616 patients

0%616 patients5/55-star benchmark: 100%

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

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

THIRD COAST RETINA S.C.

Ophthalmology (Retina Specialist)

5017 GREEN BAY RD STE 148
KENOSHA, WI 53144

Kenosha County (262) 420-5888

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 Clinton Warren's NPI number?

The NPI number for Clinton Warren is 1902162076. It was assigned to this individual provider in the NPPES registry on April 3, 2012.

Where is Clinton Warren located?

Clinton Warren practices at 5017 Green Bay Rd Ste 148, Kenosha, WI 53144. The listed phone number is (262) 420-5888.

What is Clinton Warren's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Clinton Warren enrolled in Medicare?

Yes. Clinton 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.

Which organizations bill Medicare for Clinton Warren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clinton Warren reassigns Medicare benefits to 2 organizations: Third Coast Retina S.C. (Kenosha, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). 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 Clinton Warren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clinton Warren accept?

Health plans from Network Health and UnitedHealthcare list Clinton 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 Clinton Warren affiliated with any hospitals?

According to CMS data, Clinton Warren is affiliated with Crockett Medical Center.

When was this NPI record last updated?

The NPPES record for Clinton Warren was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.