Individual provider Active NPI

Warren T Pickard II, MD

  • Family Medicine Physician
  • Browns Summit, NC
National Provider Identifier
1265659288
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2008-00707 Issued in NC
Practice address
4901 E NC Highway 150
Browns Summit, NC 27214-9719
Phone
(336) 656-9905
Fax
(336) 656-5227
NPI assigned
Apr 19, 2007
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2008-00707 NC Primary

Addresses

Primary practice location

4901 E NC Highway 150
Browns Summit, NC 27214-9719

Mailing address

4901 E NC Highway 150
Browns Summit, NC 27214-9719
Phone (336) 656-9905

Other identifiers 10

IdentifierTypeStateIssuer
1265659288OtherNCNC BLUE CROSS
1265659288OtherNCHUMANA
1265659288OtherNCAARP MEDICARE COMPLETE
1265659288OtherNCAETNA
1265659288OtherNCCOMMERCIAL
2022597BOtherNCMEDICARE
1265659288OtherNCCOVENTRY
5910251MedicaidNC
1265659288OtherNCUNITED HEALTHCARE
1265659288OtherNCBLUE MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wpickard18475@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080826000833 NC Practitioner - Family Practice 7416022496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Medical Services IncGroup PAC ID 2769395458, 214 clinicians

Practice addresses (Care Compare)

4901 NC Hwy 150 E
Browns Summit, NC 27214-9719
Phone (336) 656-9905

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
78.87
Promoting interoperability
100
Improvement activities
40
Cost
81.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2008-00707NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Medical Services, Inc. Family Medicine CurrentSince Mar 18, 2014 Accepting new patients
Western Rockingham Family Medicine PA Family Medicine Current Accepting new patients
Moses Cone Medical Services, Inc. Family Medicine Past Accepting new patients

Locations

4901 NC Highway 150 E
Browns Summit, NC 27214
Phone (336) 295-3536

401 W Decatur St
Madison, NC 27025
Phone (336) 548-9618

Interoperability endpoints

  • Direct secure messaging: wpickard18475@direct.conehealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1265659288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 E NC HIGHWAY 150",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149719",
            "telephone_number": "336-656-9905",
            "fax_number": "336-656-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 E NC HIGHWAY 150",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149719",
            "telephone_number": "336-656-9905",
            "fax_number": "336-656-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKARD",
        "first_name": "WARREN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2008-00707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BLUE CROSS",
            "identifier": "1265659288",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "1265659288",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARP MEDICARE COMPLETE",
            "identifier": "1265659288",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1265659288",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1265659288",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2022597B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "1265659288",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910251",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1265659288",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE MEDICARE",
            "identifier": "1265659288",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wpickard18475@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4901 E Nc Highway 150",
            "city": "Browns Summit",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272149719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Browns Summit, NC

Sources for this page

Verify at the official NPI Registry.