RODERICK WARREN (MD) – Surgery Physician, NPI 1528083078
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
300 GENERAL SURGERY in KS
Provider Addresses for RODERICK WARREN (MD)
820 RAVENHILL DR STE 107
ATCHISON, KS 660029252
Phone: (913) 674-2340
Fax: (913) 674-2039
Type: Location
1004 Progress Dr Ste 180&145
Lansing, KS 660436326
Phone: (913) 297-3215
Fax: (913) 297-2732
Type: Location
300 Utah St Ste 200
Hiawatha, KS 664342314
Phone: (785) 742-2161
Type: Location
300 Utah St
Hiawatha, KS 664342326
Phone: (785) 742-2131
Type: Location
810 RAVENHILL DR
ATCHISON, KS 660029204
Phone: (913) 674-2340
Fax: (913) 674-2039
Type: Mailing
800 RAVENHILL DR STE 100&107
ATCHISON, KS 660029204
Phone: (913) 674-2340
Fax: (913) 674-2039
Type: Location
800 RAVENHILL DR
ATCHISON, KS 660029204
Phone: (913) 367-2131
Fax: (913) 674-2023
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $12,777.
Total Amount is formed as General ($12,777) + Research ($0) + Ownership ($0) = $12,777.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: PENTAX of America, Inc. ($12,014).
Total Amount
$12,777
General + Research + Ownership
Payments
23
Total payment records
General Amount
$12,777
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PENTAX of America, Inc. | $12,014 |
| PROTEGA PHARMACEUTIALS INC | $238 |
| Boston Scientific Corporation | $149 |
| ABBVIE INC. | $99 |
| Novo Nordisk Inc | $87 |
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: 2004-04-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040413000562 | I | General Surgery | KS | TBD |
| I20040421001129 | I | General Surgery | NE | 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 |
|---|---|---|---|---|
| Q4197 | Puraply xt, per square centimeter | 253 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 225 | 174 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 161 | 161 | $0 |
| 45384 | Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 73 | 73 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 61 | 58 | $0 |
Insurance plans in this area (ZIP 66002)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | KS | 45378 | Diagnostic examination of large bowel using an endoscope | 39 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Physician Assistant | KS | |
| Family Practice | KS | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| Orthopedic Surgery | KS | |
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Internal Medicine, Family Practice | KS |
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