MATHEW VARUGHESE DO
NPI 1023234002
Hospitalist in Glens Falls, NY

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
93.92/100
CMS Quality Rating
100 PARK ST, GLENS FALLS HOSPITAL - HOSPITALIST PROGRAM, GLENS FALLS, NY 12801(518) 926-5925(518) 926-5917 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2021, Nov 19, 2019 (2 updates tracked since 2019).

About Mathew Varughese Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATHEW VARUGHESE DO (NPI 1023234002) is an individual hospitalist provider in Glens Falls, New York, licensed in New York (243848) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2004).

NPPES Registry Identity

NPI1023234002
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMATHEW VARUGHESECredential: DO
Location Address100 PARK ST, GLENS FALLS HOSPITAL - HOSPITALIST PROGRAMGlens Falls, NY 12801-4413
Mailing Address100 Park Street, Glens Falls Hospital - CredentialingGlens Falls, NY 12801-4413 · (518) 926-5924 · Fax (518) 926-6983
Fax(518) 926-5917
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2004
Enumeration DateApril 18, 2007
Last NPPES UpdateJune 17, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
NPI 1023234002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NY · 243848
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

100 PARK ST, Glens Falls, NY 12801

Other Identifiers 2

Medicaid02906256NY
OtherP00426450NY · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mathew Varughese Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991890816
PECOS Enrollment IDI20071005000679
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
473 services193 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
145 services140 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
76 services50 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services36 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
35 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.28
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims56 services$2.41 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers38 claims38 services$13.60 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$921.50 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
2 suppliers24 claims24 services$100.70 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers21 claims21 services$15.46 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier37 claims38 services$5.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
100 PARK ST, GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801
Psychiatry & Neurology (Psychiatry)
100 PARK ST, GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801
Psychiatry & Neurology (Psychiatry)
100 PARK ST, GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801
Psychiatry & Neurology (Psychiatry)
100 PARK ST, GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801
Hospitalist
100 PARK ST, GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801
Dentist
100 PARK ST
GLENS FALLS, NY 12801
Pathology (Anatomic Pathology & Clinical Pathology)
100 PARK ST
GLENS FALLS, NY 12801
Pathology (Anatomic Pathology & Clinical Pathology)
100 PARK ST
GLENS FALLS, NY 12801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mathew Varughese's NPI number?

The NPI number for Mathew Varughese is 1023234002. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Mathew Varughese located?

Mathew Varughese practices at 100 Park St Glens Falls Hospital - Hospitalist Program, Glens Falls, NY 12801. The listed phone number is (518) 926-5925.

What is Mathew Varughese's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mathew Varughese enrolled in Medicare?

Yes. Mathew Varughese is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mathew Varughese affiliated with any hospitals?

According to CMS data, Mathew Varughese is affiliated with Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Mathew Varughese was last updated on June 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.