DR. SCOTT DAVIS WARREN (MD) – MOHS-Micrographic Surgery Physician, NPI 1134160294
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
Provider Addresses for DR. SCOTT DAVIS WARREN (MD)
9905 Old Saint Augustine Rd Ste 205
Jacksonville, FL 322578983
Phone: (904) 296-1313
Fax: (866) 903-4727
Type: Location
216 Ponte Vedra Park Dr
Ponte Vedra, FL 320826600
Phone: (904) 296-1313
Fax: (866) 903-4727
Type: Location
6890, Belfort Oaks Place, Jacksonville, Duval County, Florida, 32216, United States
JACKSONVILLE, FL 322166241
Phone: (904) 296-1313
Fax: (904) 482-4060
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $109.
Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.
Last reported payment date: 2024-08-12 • Largest payer in this snapshot: ABBVIE INC. ($64).
Total Amount
$109
General + Research + Ownership
Payments
4
Total payment records
General Amount
$109
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $64 |
| REVANCE THERAPEUTICS, INC. | $23 |
| Vanda Pharmaceuticals Inc. | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-12-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101217000836 | I | Dermatology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 4,889 | 2,413 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 3,717 | 760 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2,196 | 1,734 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 1,723 | 1,361 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 1,505 | 1,095 | $0 |
Insurance plans in this area (ZIP 32257)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | FL | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 120 | 114 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| - | FL | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL |
Reviews
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