NPPES file of Aug 9, 2026

Fred H. Warkentine, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Lexington, KY

Fred H. Warkentine, MD is a pediatric emergency medicine (pediatrics) physician with a practice address in Lexington, Kentucky, and NPI 1336125897, issued on Dec 16, 2005. Check the license (Kentucky 37810, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1336125897
Name
Fred H. Warkentine
Credential
MD
Primary taxonomy
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X
License number
37810 KY
Self-reported in NPPES; status is on the state search
Practice location
1000 S Limestone, Lexington, KY 40536
Phone
(859) 323-5901
Enumerated
Dec 16, 2005
Record last updated
Apr 12, 2024
Fax
(859) 323-3040
Medicaid IDs
200465070 IN
64077811 KY
Medicare enrollment
Enrolled (PECOS I20040312001066); accepts Medicare assignment
Medical or professional school
University Of Kansas School Of Med (Kc/Wich/Sal), 2000
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1000 S Limestone

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Moayad Al-Sona', MDPulmonary Disease Physician1245755495
  2. Adeel Ashraf, MDStudent in an Organized Health Care Education/Training Program1235833542
  3. Maria Aulick, PA-CPhysician Assistant1649849811
  4. Abby BaileyPharmacist1023300738
  5. Jason Ballengee, D.O.Pulmonary Disease Physician1164957114
  6. Elton Banks, DOEmergency Medicine Physician1235717489

Verify Fred H. Warkentine in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license 37810
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kentucky license search

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74% fewer Medicare Part D claims than the average pediatric emergency medicine (pediatrics) physician in 2024

18 Medicare Part D claims for 17 beneficiaries, against an average of 69 among the 118 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Fred Warkentine18
  2. Specialty average69

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

  1. Community Medical Associates IncLouisville, KY
  2. Norton Childrens Medical Group LLCLouisville, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Fred H. Warkentine among 37 pediatric emergency medicine (pediatrics) physician records in Kentucky

Fred H. Warkentine, MD is one of 37 pediatric emergency medicine (pediatrics) physician records with a practice address in Kentucky. 43% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 84% newer
  • In a Medicare fileYes · 43% of these records are
  • In the CMS Doctors and Clinicians fileYes · 27% of these records are
  • Graduated2000 · median 2009 among the 10 with a school on file
  • Record last updated2024 · 32% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080P0204X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pediatric Emergency Medicine (Pediatrics) Physician providers in Kentucky

There are 37 pediatric emergency medicine (pediatrics) physician records in Kentucky.

The 8 pediatric emergency medicine (pediatrics) physician records with the nearest ZIP codes

  1. James Buscher, M.D.Lexington, KY 405361669884623
  2. Gena Cooper, MDLexington, KY 405361144589292
  3. Erika Pasciuta, MDLexington, KY 405361245559954
  4. Katherine Nichols, M.D.Louisville, KY 402071295991313
  5. Wayne Stark, M.D.Louisville, KY 402071215246202
  6. Katelyn Yackey, MDLouisville, KY 402061184913162
  7. Lilian Awad, DOLouisville, KY 402021073018404
  8. Kasi Eastep, DOLouisville, KY 402021043672256

Common questions

What is Fred H. Warkentine, MD's NPI number?

Fred H. Warkentine, MD's National Provider Identifier (NPI) is 1336125897, issued on Dec 16, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Fred H. Warkentine, MD located?

The NPPES record lists a practice address at 1000 S Limestone, Lexington, KY, 40536. Phone: (859) 323-5901. Providers update this record themselves, so call before visiting.

How can I verify Fred H. Warkentine, MD's license?

NPPES lists Kentucky license number 37810, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Fred H. Warkentine, MD prescribe under Medicare Part D?

In 2024, Fred H. Warkentine, MD had 18 Medicare Part D claims for 17 beneficiaries; the average among pediatric emergency medicine (pediatrics) physician prescribers was 69. Part D covers Medicare prescriptions only.

What is Fred H. Warkentine, MD's MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.