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WARREN M KRAUS MD
NPI 1902808991
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Edison, NJ

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating
35 PROGRESS ST # 37, SUITE B-1, EDISON, NJ 08820(908) 412-9599(908) 753-6226 Get Directions Write a Review

NPPES record last updated: October 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Warren M Kraus Md NPPES

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

WARREN M KRAUS MD (NPI 1902808991) is an individual otolaryngology/facial plastic surgery provider in Edison, New Jersey, licensed in New Jersey (MA63223) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Icahn School Of Medicine At Mount Sinai (1988).

NPPES Registry Identity

NPI1902808991
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameWARREN M KRAUSCredential: MD
Location Address35 PROGRESS ST # 37, SUITE B-1Edison, NJ 08820-1179
Mailing AddressPo Box 707South Plainfield, NJ 07080-0707 · (908) 412-9599 · Fax (908) 753-6226
Phone(908) 412-9599
Fax(908) 753-6226
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1988
Enumeration DateAugust 10, 2005
Last NPPES UpdateOctober 15, 2013
✔ NPI 1902808991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in NJ · MA63223
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
35 PROGRESS ST # 37, Edison, NJ 08820
Open in Google Maps ↗

Other Identifiers 2

Medicare UPING19629NJ
Medicare ID-Type Unspecified806657NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Warren M Kraus Md 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 ID5597788307
PECOS Enrollment IDI20060117000035
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 4

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.

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.
53 services53 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.
34 services25 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
22 services18 patients
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.
21 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

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.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

Other Providers at the Same Location NPPES 3

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

DR. SHARON PATEL D.D.S
Dentist (General Practice)
35 PROGRESS ST # 37, SUITE A6
EDISON, NJ 08820
Middlesex County (908) 756-5800
DR. DANNY WANG M.D.
Internal Medicine (Cardiovascular Disease)
35 PROGRESS ST # 37, SUITE B-2
EDISON, NJ 08820
Middlesex County (908) 754-9292
DR. MICHAEL CHEN M.D.
Internal Medicine (Cardiovascular Disease)
35 PROGRESS ST # 37, SUITE B-2
EDISON, NJ 08820
Middlesex County (908) 754-9292

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 Warren Kraus's NPI number?

The NPI number for Warren Kraus is 1902808991. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Warren Kraus located?

Warren Kraus practices at 35 Progress St # 37 Suite B-1, Edison, NJ 08820. The listed phone number is (908) 412-9599.

What is Warren Kraus's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Warren Kraus enrolled in Medicare?

Yes. Warren Kraus 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 Warren Kraus accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Warren Kraus 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 Warren Kraus affiliated with any hospitals?

According to CMS data, Warren Kraus is affiliated with Morristown Medical Center and Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Warren Kraus was last updated on October 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.