KELLY JOHN WARREN (MD) – Dermatology Physician, NPI 1306801071
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for KELLY JOHN WARREN (MD)
109 E US Highway 80 Ste B
Forney, TX 751268662
Phone: (214) 845-6426
Fax: (214) 845-7544
Type: Location
2110 RESEARCH ROW STE 100C
DALLAS, TX 752352519
Phone: (214) 845-6426
Fax: (214) 845-7544
Type: Mailing
2110 RESEARCH ROW STE 310
DALLAS, TX 752352534
Phone: (871) 721-2725
Fax: (844) 721-2725
Type: Mailing
3920, Northwest 49th Street, Tamarac, Broward County, Florida, 33309, United States
TAMARAC, FL 333093308
Phone: (954) 730-2333
Fax: (954) 730-2337
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 202 Open Payments records for all available years, with a total value of $4,138.
Total Amount is formed as General ($4,138) + Research ($0) + Ownership ($0) = $4,138.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: GENZYME CORPORATION ($727).
Total Amount
$4,138
General + Research + Ownership
Payments
202
Total payment records
General Amount
$4,138
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $727 |
| E.R. Squibb & Sons, L.L.C. | $499 |
| Amgen Inc. | $477 |
| ABBVIE INC. | $288 |
| Incyte Corporation | $274 |
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: 2020-01-30
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 |
|---|---|---|---|---|
| I20050125001058 | I | Dermatology | TX | TBD |
| I20200130000028 | I | Dermatology | LA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 47 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 30 | 30 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 22 | 20 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 18 | 13 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 17 | 14 | $0 |
Insurance plans in this area (ZIP 75126)
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