KEITH WARNER (M.D.) – Surgery Physician, NPI 1265436729
Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KEITH WARNER (M.D.)
Rockside Woods Boulevard South, Independence, Cuyahoga County, Ohio, 44131, United States
SUITE 425
INDEPENDENCE, OH 441312366
Phone:
Type: Mailing
125, East Broad Street, Elyria, Lorain County, Ohio, 44035, United States
STE 219
ELYRIA, OH 440356447
Phone: (440) 326-5250
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $2,033.
Total Amount is formed as General ($2,033) + Research ($0) + Ownership ($0) = $2,033.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Smith+Nephew, Inc. ($1,000).
Total Amount
$2,033
General + Research + Ownership
Payments
3
Total payment records
General Amount
$2,033
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $1,000 |
| ABBVIE INC. | $1,000 |
| MIMEDX Group, Inc. | $33 |
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: 2005-06-14
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 |
|---|---|---|---|---|
| I20050614000259 | I | General Surgery | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44131)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | OH | 45385 | Removal of polyps or growths of large bowel using an endoscope | 30 | 30 |
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