MICHAEL NATHEN WARREN (MPAS, PA-C) – Physician Assistant, NPI 1114329810
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,243 PHYSICIAN ASSISTANT in NY
Provider Addresses for MICHAEL NATHEN WARREN (MPAS, PA-C)
212 HIGHBRIDGE ST
FAYETTEVILLE, NY 130661981
Phone: (315) 637-9116
Fax: (315) 637-0436
Type: Mailing
9286 S 2700 W
WEST JORDAN, UT 840888620
Phone: (801) 518-5116
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 102 Open Payments records for all available years, with a total value of $2,672.
Total Amount is formed as General ($2,672) + Research ($0) + Ownership ($0) = $2,672.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($683).
Total Amount
$2,672
General + Research + Ownership
Payments
102
Total payment records
General Amount
$2,672
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $683 |
| Lilly USA, LLC | $339 |
| UCB, Inc. | $262 |
| Janssen Biotech, Inc. | $253 |
| LEO Pharma Inc. | $232 |
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: 2022-02-17
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 |
|---|---|---|---|---|
| I20220217001006 | I | Physician Assistant | UT | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,818 | 268 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 521 | 402 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 366 | 312 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 182 | 139 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 155 | 139 | $0 |
Insurance plans in this area (ZIP 13066)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | NV |
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