Active NPI 1255373916 Individual Practitioner Female Practitioner

Dr. Caron Warnsby , MD

Surgery • Marshall, MI

Professional Overview & Biography Verified Profile Summary

Dr. Caron Warnsby, MD is a certified Surgery practicing in Marshall, MI. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Warnsby delivers high-quality medical care to the local community at 215 E MANSION ST.

Dr. Warnsby is affiliated with Unc Rockingham Health Care Inc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

215 E Mansion St
Suite 3e

Marshall, MI 490681559

Telephone 2697814267

Fax 2697812710

Associated Practice Facility / Clinic

🏢 Mansion Street Obstetrics & Gynecology Pc Facility NPI 1225001266

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Marshall, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +11.5 yrs vs City Avg

City Avg: 17.5 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Marshall, MI (1479 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Warnsby (29 Years) 29 Yrs

Marshall Specialty Average (17.5 Years) 17.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	32	$231.00	$73.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$281.56	$119.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$450.45	$151.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	16	$145.00	$45.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$467.21	$121.60
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$196.00	$84.86
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$339.00	$76.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	36	$221.43	$75.46
99213 Established patient office or other outpatient visit, typically 15 minutes	45	36	$196.00	$85.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	25	$124.56	$47.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$451.26	$123.97
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$319.25	$78.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$257.95	$105.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$277.75	$121.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	14	$121.26	$53.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	62	37	$196.00	$87.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	36	$113.00	$37.43
99221 Initial hospital inpatient care per day, typically 30 minutes	35	35	$319.60	$97.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	25	$210.00	$69.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$240.00	$104.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	22	$278.00	$124.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$399.00	$162.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$460.53	$131.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	38	$213.33	$68.69
99213 Established patient office or other outpatient visit, typically 15 minutes	52	38	$183.21	$88.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$252.69	$109.30
99221 Initial hospital inpatient care per day, typically 30 minutes	39	38	$311.41	$96.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	26	$103.68	$54.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	21	$115.77	$36.28
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$182.00	$70.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$431.19	$132.42
47562 Removal of gallbladder using an endoscope	13	13	$2223.00	$651.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$244.02	$100.23
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$170.83	$71.38
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$172.78	$71.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$93.89	$41.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	15	$101.00	$38.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	13	$192.00	$71.31
99221 Initial hospital inpatient care per day, typically 30 minutes	16	15	$269.25	$100.33
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$77.00	$50.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$115.00	$74.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	60	$40.69	$25.29
99213 Established patient office or other outpatient visit, typically 15 minutes	64	52	$77.00	$50.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	26	$146.00	$72.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$124.20	$75.59
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	32	$496.00	$89.49
99221 Initial hospital inpatient care per day, typically 30 minutes	31	28	$203.00	$97.35
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$661.00	$189.35
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$76.00	$50.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$159.72	$77.37
45380 Biopsy of large bowel using an endoscope	17	17	$716.00	$149.87
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$908.00	$261.17
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$105.75	$55.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	46	34	$77.00	$50.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	43	$39.00	$24.95
99213 Established patient office or other outpatient visit, typically 15 minutes	31	25	$102.68	$61.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$122.67	$75.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	18	$148.92	$71.40
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	25	$462.54	$84.66
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$80.79	$49.57
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$615.86	$171.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$46.24	$34.12
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$206.10	$99.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$257.94	$144.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$118.00	$76.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$132.71	$89.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$145.00	$94.09
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$92.71	$61.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$433.62	$198.95
47562 Removal of gallbladder using an endoscope	12	12	$2247.25	$658.46
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$611.67	$180.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	73	56	$118.00	$66.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	45	$58.00	$39.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$177.00	$98.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	28	$165.00	$63.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	37	$181.00	$100.00
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$115.00	$64.80
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$351.00	$76.96
45380 Biopsy of large bowel using an endoscope	22	22	$611.00	$154.85
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$512.64	$176.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$467.00	$181.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$318.00	$121.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$302.00	$146.62
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$513.00	$174.27
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$727.00	$227.07
99238 Hospital discharge day management, 30 minutes or less	11	11	$165.00	$68.29

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301083304

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License MI CW083304

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

4605320 (MI)

Medicaid State Provider ID

4848955 (MI)

Commercial Insurance / Payer ID Bcbsm Group Id

020A312720 (MI)

Hospital & Practice Group Affiliations

Unc Rockingham Health Care Inc

117 E Kings Hwy, Eden, NC 272885201

Phone: 3366239711

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Theresa Klee , DO

Surgery

NPI 1114280294

Doctor of Osteopathic Medicine (D.O.)

Dr. Catherine Burtrum , DO

Surgery

NPI 1164733887

Doctor of Osteopathic Medicine (D.O.)

Dr. Andrew Worden , MD

Surgery

NPI 1699160994

Doctor of Medicine (M.D.)

Dr. Thomas Casale , MD

Specialist

NPI 1750325775

Doctor of Medicine (M.D.)

Dr. Matthew Ralph , DO

Surgery

NPI 1972741700

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 09, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 09, 2014

Registered at 215 E MANSION ST, SUITE 3E, MARSHALL, MI 490681559 (Tel: 2697814267)

📍

Updated Business Mailing Address December 09, 2014

Registered at 215 E MANSION ST, SUITE 3E, MARSHALL, MI 490681559 (Tel: 2697814267)

👤

Provider Name / Credentials Updated December 09, 2014

Recorded as CARON WARNSBY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2014

Specialist (License #CW083304 in MI)

🟢

Initial NPI Registration & Enumeration June 10, 2006

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: 1255373916

Entity Type:

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

Enumeration Date: June 10, 2006

Last Update: December 09, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

215 E Mansion St, Suite 3e

Marshall, MI 490681559

Phone: 2697814267

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.