Active NPI 1417973231 Individual Practitioner Male Practitioner

Kenneth H Warner , PA-C

Physician Assistant • Traverse City, MI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kenneth Warner, PA-C is a certified Physician Assistant practicing in Traverse City, MI. With approximately 22 years of clinical experience since completing medical education in 2004, Kenneth Warner delivers high-quality medical care to the local community at 4290 COPPER RIDGE DR STE 200.

Kenneth Warner is affiliated with West Front Primary Care Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual depression screening, 5 to, established 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

4290 Copper Ridge Dr Ste 200

Traverse City, MI 496847205

Telephone 2319358930

Fax 2319358811

Associated Practice Facility / Clinic

🏢 West Front Primary Care, P.l.l.c. Facility NPI 1851490296

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Traverse City, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +9.8 yrs vs City Avg

City Avg: 12.2 Yrs

State Avg: 12.2 Yrs

Regional Practice Density

144 Specialists

Practicing in Traverse City, MI (7057 Statewide)

Telehealth Adoption Rate

17.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

41.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Warner (22 Years) 22 Yrs

Traverse City Specialty Average (12.2 Years) 12.2 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
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	242	242	$200.00	$104.14
G0444 Annual depression screening, 5 to 15 minutes	225	225	$32.00	$14.87
99213 Established patient office or other outpatient visit, typically 15 minutes	106	88	$115.94	$73.23
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	102	70	$20.00	$13.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	48	$168.17	$103.36
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	26	26	$215.00	$132.87
81002 Urinalysis, manual test	20	20	$7.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	192	192	$200.00	$104.13
G0444 Annual depression screening, 5 to 15 minutes	169	169	$32.00	$14.64
99213 Established patient office or other outpatient visit, typically 15 minutes	113	97	$120.40	$71.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	53	$174.67	$102.27
G0009 Administration of pneumococcal vaccine	21	21	$32.00	$29.39
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$215.00	$133.64
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	15	15	$305.60	$282.89
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$27.14	$11.66
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$210.00	$133.89
G0008 Administration of influenza virus vaccine	11	11	$32.00	$29.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	165	165	$160.00	$106.22
G0444 Annual depression screening, 5 to 15 minutes	157	157	$32.00	$14.69
99213 Established patient office or other outpatient visit, typically 15 minutes	134	104	$118.88	$73.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	70	$171.30	$104.55
93000 Routine ekg using at least 12 leads including interpretation and report	22	21	$31.00	$11.59
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$215.00	$136.59
G0008 Administration of influenza virus vaccine	19	19	$32.00	$27.83
90662 Influenza vaccine split virus, preservative free	16	16	$76.38	$68.54
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$210.00	$136.98
81002 Urinalysis, manual test	14	14	$7.00	$3.44
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$92.23	$72.62
G0009 Administration of pneumococcal vaccine	12	12	$32.00	$28.02
0124A Fee covid-19 vac 13 res	12	12	$45.00	$36.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	230	230	$143.43	$110.54
G0444 Annual depression screening, 5 to 15 minutes	163	163	$31.66	$15.33
99213 Established patient office or other outpatient visit, typically 15 minutes	120	83	$117.40	$75.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	53	$170.38	$108.18
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	26	26	$204.23	$140.39
0003A Adm sarscov2 30mcg/0.3ml 3rd	22	22	$42.00	$37.85
81002 Urinalysis, manual test	17	16	$7.00	$3.48
G0008 Administration of influenza virus vaccine	16	16	$32.00	$16.13
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$31.00	$12.25
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$196.54	$140.67
G0009 Administration of pneumococcal vaccine	12	12	$32.00	$16.13
90662 Influenza vaccine split virus, preservative free	12	12	$75.00	$65.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	200	200	$120.00	$96.72
99213 Established patient office or other outpatient visit, typically 15 minutes	112	86	$115.14	$62.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	73	$168.62	$89.65
G0008 Administration of influenza virus vaccine	37	37	$32.00	$16.07
90662 Influenza vaccine split virus, preservative free	31	31	$70.94	$60.39
G0009 Administration of pneumococcal vaccine	19	19	$32.00	$15.98
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$180.00	$142.73
81002 Urinalysis, manual test	17	16	$7.00	$3.47
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$31.00	$14.09
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$175.00	$139.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0442 Annual alcohol misuse screening, 5 to 15 minutes	379	379	$22.66	$14.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	355	355	$120.00	$95.63
G0444 Annual depression screening, 5 to 15 minutes	325	325	$20.00	$14.72
99213 Established patient office or other outpatient visit, typically 15 minutes	127	108	$111.94	$61.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	79	$164.57	$89.70
G0008 Administration of influenza virus vaccine	57	56	$32.00	$15.78
90662 Influenza vaccine split virus, preservative free	53	52	$66.49	$54.40
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	44	44	$180.00	$141.69
G0009 Administration of pneumococcal vaccine	39	39	$32.00	$15.78
81002 Urinalysis, manual test	24	23	$6.00	$3.41
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$116.88	$110.34
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$175.00	$137.47
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$30.73	$13.92
90670 Pneumococcal vaccine for injection into muscle	15	15	$220.67	$205.68
81000 Manual urinalysis test with examination using microscope, non-automated	12	12	$6.00	$3.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0442 Annual alcohol misuse screening, 5 to 15 minutes	436	436	$20.00	$14.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	369	369	$120.00	$94.98
G0444 Annual depression screening, 5 to 15 minutes	366	366	$20.00	$14.52
99213 Established patient office or other outpatient visit, typically 15 minutes	111	101	$110.56	$59.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	73	$162.06	$87.45
G0008 Administration of influenza virus vaccine	70	69	$32.00	$19.33
90662 Influenza vaccine split virus, preservative free	61	60	$57.93	$51.52
G0009 Administration of pneumococcal vaccine	58	58	$32.00	$19.33
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	48	48	$180.00	$140.58
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	39	39	$110.54	$105.59
81002 Urinalysis, manual test	22	20	$5.59	$3.41
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$175.00	$136.43
90670 Pneumococcal vaccine for injection into muscle	19	19	$217.05	$199.72
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	17	17	$20.00	$11.95
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$32.35	$13.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0442 Annual alcohol misuse screening, 5 to 15 minutes	367	367	$22.62	$14.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	325	325	$134.61	$93.99
G0444 Annual depression screening, 5 to 15 minutes	315	315	$22.46	$14.47
99213 Established patient office or other outpatient visit, typically 15 minutes	143	121	$110.00	$59.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	59	$160.00	$86.74
G0008 Administration of influenza virus vaccine	67	67	$31.97	$23.79
90662 Influenza vaccine split virus, preservative free	63	63	$49.81	$47.85
G0009 Administration of pneumococcal vaccine	59	59	$31.56	$23.79
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	48	48	$210.63	$139.23
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	34	34	$97.41	$94.64
90670 Pneumococcal vaccine for injection into muscle	26	26	$192.85	$184.17
81002 Urinalysis, manual test	26	24	$6.00	$3.43
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$32.00	$13.72

Medical Specialties & State Licenses

CMS Verified: 2026-05-21

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601004373

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License

5601004373 (MI)

Hospital & Practice Group Affiliations

West Front Primary Care Pllc

4290 Copper Ridge Dr, Traverse City, MI 496847205

Phone: 2319358930

Practice Associates & Co-Workers

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

22 Associated Practitioners

Stacy Dobreff , PA-C

Physician Assistant

NPI 1033346069

Physician Assistant (Certified)

Allison Ensign

Nurse Practitioner - Family

NPI 1053827568

Dr. Hilarion Bibicoff , DO

Family Medicine

NPI 1114367703

Doctor of Osteopathic Medicine (D.O.)

Laura Kroll

Nurse Practitioner - Family

NPI 1134761588

Wesley Dean , PA-C

Physician Assistant

NPI 1215527676

Physician Assistant (Certified)

Dr. Anessa Songer , DO

Family Medicine

NPI 1316081326

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location May 21, 2026

Registered at 4290 COPPER RIDGE DR STE 200, TRAVERSE CITY, MI 496847205 (Tel: 2319358930)

👤

Provider Name / Credentials Updated May 21, 2026

Recorded as KENNETH WARNER, PA-C

📍

Updated Business Mailing Address March 18, 2025

Registered at 4290 COPPER RIDGE DR STE 200, TRAVERSE CITY, MI 496847205 (Tel: 2319358930)

✅

NPI Profile Active June 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 16, 2016

Registered at 3537 W FRONT ST STE E, TRAVERSE CITY, MI 496847943 (Tel: 2319358930)

📍

Updated Business Mailing Address June 16, 2016

Registered at 3537 W FRONT ST STE E, TRAVERSE CITY, MI 496847943 (Tel: 2319358930)

👤

Provider Name / Credentials Updated June 16, 2016

Recorded as KENNETH WARNER, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2016

Physician Assistant (License #5601004373 in MI)

🟢

Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1417973231

Entity Type:

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

Enumeration Date: July 14, 2006

Last Update: May 21, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4290 Copper Ridge Dr Ste 200

Traverse City, MI 496847205

Phone: 2319358930

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

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