CHARLES R WARREN (D.O.) – Family Medicine Physician, NPI 1154389112
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for CHARLES R WARREN (D.O.)
4565 US HIGHWAY 17 STE 106
FLEMING ISLAND, FL 320034822
Phone: (904) 269-4559
Fax: (904) 269-4597
Type: Location
6520, Fort Caroline Road, Newcastle, Jacksonville, Duval County, Florida, 32277, United States
JACKSONVILLE, FL 322772044
Phone: (904) 745-3618
Fax: (904) 722-4271
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $812.
Total Amount is formed as General ($812) + Research ($0) + Ownership ($0) = $812.
Last reported payment date: 2024-08-30 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($183).
Total Amount
$812
General + Research + Ownership
Payments
42
Total payment records
General Amount
$812
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $183 |
| Lundbeck LLC | $61 |
| SANOFI PASTEUR INC. | $56 |
| Abbott Laboratories | $54 |
| Alexion Pharmaceuticals, Inc. | $50 |
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: 2005-07-14
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 |
|---|---|---|---|---|
| I20050714000322 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 467 | 251 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 327 | 210 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 99 | 99 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 78 | 65 | $0 |
| G0008 | Administration of influenza virus vaccine | 47 | 44 | $0 |
Insurance plans in this area (ZIP 32003)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Family Practice | FL | |
| - | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Family Practice, Emergency Medicine | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| - | FL |
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