KENNETH H WARNER (PA) – Physician Assistant, NPI 1417973231
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
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Provider Addresses for KENNETH H WARNER (PA)
4290 COPPER RIDGE DR STE 200
TRAVERSE CITY, MI 496847205
Phone: (231) 935-8930
Fax: (231) 935-8811
Type: Mailing
West Front Street, Traverse City, Grand Traverse County, Michigan, 49684, United States
TRAVERSE CITY, MI 496847943
Phone: (231) 935-8930
Fax: (231) 935-8811
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $616.
Total Amount is formed as General ($616) + Research ($0) + Ownership ($0) = $616.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Philips Electronics North America Corporation ($116).
Total Amount
$616
General + Research + Ownership
Payments
28
Total payment records
General Amount
$616
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Philips Electronics North America Corporation | $116 |
| ABBVIE INC. | $94 |
| GlaxoSmithKline, LLC. | $62 |
| PFIZER INC. | $45 |
| Novo Nordisk Inc | $45 |
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: 2004-11-01
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 |
|---|---|---|---|---|
| I20041101000049 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 192 | 192 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 169 | 169 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 113 | 97 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 69 | 53 | $0 |
| G0009 | Administration of pneumococcal vaccine | 21 | 21 | $0 |
Insurance plans in this area (ZIP 49684)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 81002 | Urinalysis, manual test | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Osteopathic Manipulative Medicine, Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| - | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI |
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