Deactivated NPI 1396172110 Deactivated / Inactive NPI Male Practitioner

Dr. Clarence Emanuel Warner , MD

General Practice • Fresno, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Clarence Warner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 11, 2013

NPI Deactivation Date October 15, 2020

Total Practice Duration ~7 Years of Practice (2013 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Clarence Warner, MD was a registered General Practice practicing in Fresno, CA. Throughout an active medical career spanning 7 years, Dr. Warner provided care at the practice location at 4420 N 1ST ST until profile deactivation on 2020-10-15.

Historical Medicare Part B clinical services included physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow, advance care planning, first, residence visit for new patient with high level of medical decision making, per day, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4420 N 1st St
Ste #121

Fresno, CA 937262331

Telephone 5592301485

Fax 5592301502

Associated Practice Facility / Clinic

🏢 D'arcy A Tong Md Inc Facility NPI 1154598530

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Fresno, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.8 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

31 Specialists

Practicing in Fresno, CA (2300 Statewide)

Telehealth Adoption Rate

12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

26.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	137	56	$159.75	$117.99
99497 Advance care planning, first 30 minutes	66	66	$126.69	$93.30
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	57	57	$327.39	$241.32
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	57	57	$80.64	$59.53
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$256.33	$189.57
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes	19	18	$83.77	$61.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$174.82	$128.84
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	16	15	$62.40	$46.13
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	14	12	$264.47	$195.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes	166	13	$50.00	$22.16
97035 Application of ultrasound, each 15 minutes	83	13	$20.00	$10.73
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	83	13	$50.00	$31.92
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	83	13	$40.00	$11.04
99213 Established patient office or other outpatient visit, typically 15 minutes	22	14	$100.00	$76.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes	1,075	94	$49.99	$23.10
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	832	94	$49.99	$27.17
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	830	93	$40.00	$10.23
97530 Therapy procedure using functional activities	589	67	$50.00	$34.91
99213 Established patient office or other outpatient visit, typically 15 minutes	504	147	$99.97	$73.38
97035 Application of ultrasound, each 15 minutes	244	27	$20.08	$10.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	190	88	$50.16	$25.69
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	161	80	$25.00	$3.65
82962 Blood glucose (sugar) test performed by hand-held instrument	91	32	$15.00	$3.15
96360 Infusion into a vein for hydration, 31-60 minutes	80	44	$120.00	$58.34
36415 Insertion of needle into vein for collection of blood sample	72	66	$15.00	$2.94
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc	72	44	$50.00	$1.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	41	$60.07	$43.75
93000 Routine ekg using at least 12 leads including interpretation and report	54	50	$50.00	$16.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	40	$147.24	$110.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$148.14	$105.42
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	32	31	$400.00	$236.25
93880 Ultrasound of both sides of head and neck blood flow	26	24	$250.00	$183.46
J1200 Injection, diphenhydramine hcl, up to 50 mg	23	13	$50.00	$0.66
76700 Ultrasound of abdomen	22	20	$400.00	$134.53
93925 Ultrasound of leg arteries or artery grafts	20	19	$350.00	$284.07
93970 Ultrasound study of arm or leg veins with compression and maneuvers	19	19	$350.00	$172.77
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	17	$40.00	$20.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$200.00	$161.09

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA G62334

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

James Powroznik , LMFT

Marriage & Family Therapist

NPI 1174646954

Licensed Marriage and Family Therapist

Deborah Duncan , LMFT

Marriage & Family Therapist

NPI 1467557439

Licensed Marriage and Family Therapist

Karen Fu , MFT

Marriage & Family Therapist

NPI 1790809895

Marriage and Family Therapist

Dr. Darcy Tong , MD

Specialist

NPI 1841266533

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

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NPI Profile Deactivated October 15, 2020

Record deactivated on October 15, 2020

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Updated Practice Location October 18, 2019

Registered at 8781 VAN NUYS BLVD, PANORAMA CITY, CA 91402 (Tel: 8189200303)

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Updated Business Mailing Address October 18, 2019

Registered at 8781 VAN NUYS BLVD, PANORAMA CITY, CA 91402 (Tel: 8189200303)

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Provider Name / Credentials Updated October 18, 2019

Recorded as CLARENCE WARNER, M.D

✅

NPI Profile Active December 29, 2015

NPI status registered as active in NPPES database

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Updated Practice Location December 29, 2015

Registered at 4420 N 1ST ST, STE #121, FRESNO, CA 937262331 (Tel: 5592301485)

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Updated Business Mailing Address December 29, 2015

Registered at 4420 N 1ST ST, STE #121, FRESNO, CA 937262331 (Tel: 5592301485)

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Provider Name / Credentials Updated December 29, 2015

Recorded as CLARENCE WARNER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2015

General Practice (License #G62334 in CA)

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Initial NPI Registration & Enumeration October 11, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396172110

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 11, 2013

Last Update: December 29, 2015

Deactivation Date: October 15, 2020

Update or Correct Profile

Mailing Address

4420 N 1st St, Ste #121

Fresno, CA 937262331

Phone: 5592301485

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.