JERRY G WARREN (MD) – Diagnostic Radiology Physician, NPI 1437140043

JERRY G WARREN (MD) is a healthcare provider. based in Roseburg, Oregon. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD01895 (OR). The NPI Number for JERRY G WARREN (MD) is 1437140043

Main info

Male
Sole Proprietor
61 Years Of Experience
Accepts Medicare Assignment
Name
JERRY G WARREN (MD)
NPI
1437140043
Phone
(541) 580-0304
Address
621 SE CASS AVE
Enumeration Date
2 November 2005
Last Update Date
29 August 2014

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
5416730611
Graduation Year
1965 (61 years ago)
PAC ID
8527232149
Group Practice PAC ID
0446246003
Professional Enrollment ID
I20111117000075
Address ID
OR974711281RO2700XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

532 DIAGNOSTIC RADIOLOGY in OR

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Provider Addresses for JERRY G WARREN (MD)

  • Southeast Cass Avenue, Roseburg, Douglas County, Oregon, 97470, United States

    SUITE 126

    ROSEBURG, OR 974703123

    Phone: (541) 580-0304

    Type: Location

  • 220 N RIVER DR

    ROSEBURG, OR 974708009

    Phone: (541) 672-0477

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-11-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111117000075IDiagnostic RadiologyORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71046X-ray of chest, 2 views589548$0
71045X-ray of chest, 1 view377314$0
73562X-ray of knee, 3 views270223$0
73630X-ray of foot, minimum of 3 views205159$0
73030X-ray of shoulder, minimum of 2 views204174$0
View full utilization report →

Insurance plans in this area (ZIP 97470)

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Provider's Procedures

JERRY G WARREN (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOR71010X-ray of chest, 1 view, front660416
DIAGNOSTIC RADIOLOGYOR73110X-ray of wrist, minimum of 3 views6045
DIAGNOSTIC RADIOLOGYOR73140X-ray of fingers, minimum of 2 views1211
DIAGNOSTIC RADIOLOGYOR73562X-ray of knee, 3 views154120
DIAGNOSTIC RADIOLOGYOR73630X-ray of foot, minimum of 3 views2625

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446246003View full group profile
NameSpecialtyState
Diagnostic RadiologyOR
Diagnostic RadiologyMN
Diagnostic RadiologyMI
Diagnostic RadiologyID
Diagnostic RadiologyMN
Diagnostic RadiologyCA
Diagnostic RadiologyKS
Diagnostic RadiologyWI
Diagnostic RadiologyMN
Diagnostic RadiologyMN

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Frequently asked questions

Where can patients find JERRY G WARREN (MD)'s NPI?
You can confirm JERRY G WARREN (MD) with NPI 1437140043; it appears in the national provider directory.
Is JERRY G WARREN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JERRY G WARREN (MD) work in?
You can think of JERRY G WARREN (MD) as practicing within Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for JERRY G WARREN (MD)?
The page summarizes Roseburg, Oregon for JERRY G WARREN (MD); expand the address list for detail.
What if Roseburg, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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