JOSEPH W WARREN M.D. NPI 1952394058
Internal Medicine - Nephrology in Orlando, FL

Individual Male Years of Experience 53 Internal Medicine Nephrology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 89.9

About JOSEPH W WARREN M.D.

Joseph Warren is an internist established in Orlando, Florida and his medical specialization is Internal Medicine with a focus in nephrology with more than 53 years of experience. He graduated from West Virginia University School Of Medicine in 1970. The NPI number of Joseph Warren is 1952394058 and was assigned on August 2005. The practitioner's primary taxonomy code is 207RN0300X with license number ME0030906 (FL). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1952394058
Provider Name JOSEPH W WARREN M.D.
Location Address2501 N ORANGE AVE SUITE 537N ORLANDO, FL 32804
Location Phone(407) 894-4693
Mailing Address807 S ORLANDO AVE SUITE C WINTER PARK, FL 32789
GenderMale
NPI Entity TypeIndividual
Medical School NameWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1970
Is Sole Proprietor?No
Enumeration Date08-24-2005
Last Update Date12-22-2009

An internist like Joseph W Warren M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Joseph Warren is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Joseph Warren is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Adventhealth Orlando.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.9, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

Taxonomy Code207RN0300X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationNephrology
License No.ME0030906
License StateFL
Taxonomy DescriptionAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Blue Cross Blue Shield
  • Medicaid
  • Medicare
  • Railroad Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

JOSEPH W WARREN M.D.
2501 N ORANGE AVE
SUITE 537N
ORLANDO, FL
ZIP 32804
Phone: (407) 894-4693
Fax: (407) 896-0569

Get Directions


Mailing Address

JOSEPH W WARREN M.D.
807 S ORLANDO AVE
SUITE C
WINTER PARK, FL
ZIP 32789
Phone: (407) 894-4693
Fax: (407) 539-0469


Location Map

PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID5294785101
PECOS Enrollment IDI20100210000682
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 55.8
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 89.9
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 641Automated urinalysis test (HCPCS:81003)
  • 623Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 552Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 549Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • 162Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 143Hemoglobin A1C level (HCPCS:83036)
  • 126Home dialysis services per month, patient 20 years of age or older (HCPCS:90966)
  • 103Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour (HCPCS:96365)
  • 68Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • 50Administration of influenza virus vaccine (HCPCS:G0008)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Joseph Warren is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ADVENTHEALTH ORLANDO601 E ROLLINS ST
ORLANDO, FL 32803
(407) 303-1976Acute Care Hospitals100007

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
390001557OTHER (01)FLRAILROAD MEDICARE
D52573MEDICARE UPIN (02)FL
15417OTHER (01)FLBCBS
058744300MEDICAID (05)FL
15417ZMEDICARE ID-TYPE UNSPECIFIED (04)FL
202427OTHER (01)FLAVMED
591561574OTHER (01)FLEIN

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1952394058
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29102698010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 6 + 9 + 8 + 0 + 1 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1952394058 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891791505 STEVEN DAVID SPECTOR M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)2501 N ORANGE AVE SUITE 308
ORLANDO, FL 32804
(407) 896-8585
1255331146 VINCENT HSU MD
Individual
Internal Medicine (Infectious Disease)2501 N ORANGE AVE SUITE 235
ORLANDO, FL 32804
(407) 303-1967
1659364768 HOWARD A. SACKEL M.D.
Individual
Internal Medicine (Nephrology)2501 N ORANGE AVE SUITE 537
ORLANDO, FL 32804
(407) 894-4693
1063405108 JORGE A KUSNIR M.D.
Individual
Internal Medicine (Nephrology)2501 N ORANGE AVE SUITE 537N
ORLANDO, FL 32804
(407) 894-4693
1952394991 KAREN L. MILLER P.A.
Individual
Physician Assistant (Medical)2501 N ORANGE AVE SUITE 537N
ORLANDO, FL 32804
(407) 894-4693
1144213208 TIMOTHY D. YOUELL M.D.
Individual
Internal Medicine (Nephrology)2501 N ORANGE AVE SUITE 537N
ORLANDO, FL 32804
(407) 894-4693
1851384994 UDAY K RANJIT M.D.
Individual
Internal Medicine (Nephrology)2501 N ORANGE AVE SUITE 537N
ORLANDO, FL 32804
(407) 894-4693
1285629568DR. J DEAN COLE MD
Individual
Orthopaedic Surgery (Orthopaedic Trauma)2501 N ORANGE AVE SUITE 340
ORLANDO, FL 32804
(407) 895-8890
1639165566 JULIE ZEVALLOS A.R.N.P.
Individual
Nurse Practitioner2501 N ORANGE AVE SUITE 537N
ORLANDO, FL 32804
(407) 894-4693
1992791818 WILNA CAPITA A.R.N.P.
Individual
Nurse Practitioner2501 N ORANGE AVE SUITE 537N
ORLANDO, FL 32804
(407) 894-4693
1659367589 DEBORAH GLIDDEN A.R.N.P.
Individual
Nurse Practitioner2501 N ORANGE AVE SUITE 537N
ORLANDO, FL 32804
(407) 894-4693
1457340101 MANOUCHER MANOUCHERI M.D.
Individual
Internal Medicine2501 N ORANGE AVE SUITE 235
ORLANDO, FL 32804
(407) 303-2814
1487645909 NEAL SMITH M.D.
Individual
Family Medicine2501 N ORANGE AVE SUITE 235
ORLANDO, FL 32804
(407) 303-2814
1225013717 GARY DEAN SLADEK MD
Individual
Internal Medicine (Rheumatology)2501 N ORANGE AVE 538
ORLANDO, FL 32804
(407) 894-8696
1003895491DR. FRANK CORSON RIGGALL M.D.
Individual
Specialist2501 N ORANGE AVE SUITE 209
ORLANDO, FL 32804
(407) 898-0254
1285607200DIALYSIS SER CENTRAL FLORIDA LLC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)2501 N ORANGE AVE STE 537N
ORLANDO, FL 32804
(407) 515-2200
1821054701FLORIDA HEMATOLOGY & ONCOLOGY SPECIALISTS PA
Organization
Internal Medicine (Hematology & Oncology)2501 N ORANGE AVE SUITE 201
ORLANDO, FL 32804
(386) 774-5211
1013975713HEMATOLOGY & ONCOLOGY CONSULTANTS
Organization
Internal Medicine (Hematology & Oncology)2501 N ORANGE AVE SUITE 381
ORLANDO, FL 32804
(407) 898-5452
1336190974 FOUAD MAURICE HAJJAR MD
Individual
Pediatrics (Pediatric Hematology-Oncology)2501 N ORANGE AVE SUITE 589
ORLANDO, FL 32804
(407) 303-2080
1538109137 ROBERT W HOLLOWAY MD
Individual
Obstetrics & Gynecology (Gynecologic Oncology)2501 N ORANGE AVE SUITE 800
ORLANDO, FL 32804
(407) 303-2422

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Joseph W Warren M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.