JOJI J VARGHESE M.D.
NPI 1053479683
Internal Medicine - Interventional Cardiology in Abilene, TX

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
73.1/100
CMS Quality Rating
1201 N 18TH ST, ABILENE, TX 79601(325) 793-3100 Get Directions Write a Review

NPPES record last updated: June 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joji J Varghese M.d. NPPES

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

JOJI J VARGHESE M.D. (NPI 1053479683) is an individual interventional cardiology provider in Abilene, Texas, licensed in Texas (N1202) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Medical City North Hills, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1053479683
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameJOJI J VARGHESECredential: M.D.
Location Address1201 N 18TH STAbilene, TX 79601-2932
Mailing AddressPo Box 1198Abilene, TX 79604-1198 · (325) 670-4220 · Fax (325) 670-4040
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 5, 2006
Last NPPES UpdateJune 22, 2017
NPI 1053479683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in TX · N1202
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036116554 (IL), N1202 (TX)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License N1202 (TX)
1201 N 18TH ST, Abilene, TX 79601

Other Identifiers 3

Medicaid036116554IL
Medicare PIN302359YM7PTX
Medicare PINK38715IL

Accepted Insurance

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

Joji J Varghese M.d. 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 ID2466453204
PECOS Enrollment IDI20090220000402
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 37

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
518 services448 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
317 services290 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.
194 services110 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
143 services129 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
117 services71 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.
109 services101 patients

Hospital Affiliations CMS Care Compare 4

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

Medical City North Hills

Acute Care Hospitals · North Richland Hills, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450087
Location4401 Booth Calloway RoadNorth Richland Hills, TX 76180 · Tarrant County
Emergency services

Medical City Weatherford

Acute Care Hospitals · Weatherford, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450203
Location713 E Anderson StWeatherford, TX 76086 · Parker County
Emergency services Birthing friendly

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450229
Location1900 PineAbilene, TX 79601 · Taylor County
Emergency services Birthing friendly

Medical City Fort Worth

Acute Care Hospitals · Fort Worth, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450672
Location900 Eighth AvenueFort Worth, TX 76104 · Tarrant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79601 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 $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

73.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.26
Promoting Interoperability100
Improvement Activities40
Cost47.09

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
35%135 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
63%922 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
90%136 patients4/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
63%301 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
71%2,436 patients3/55-star benchmark: 100%
e-Prescribing
97%902 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
20%588 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 23% · 1,403 patients
Patients screened: 26% · 1,403 patients
33%52 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
79%408 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
89%1,053 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 990 patients
Patients totalRate: 8% · 1,005 patients
8%1,005 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine (Interventional Cardiology)
1201 N 18TH ST
ABILENE, TX 79601
Physician Assistant
1201 N 18TH ST
ABILENE, TX 79601
Nurse Practitioner (Family)
1201 N 18TH ST
ABILENE, TX 79601
Nurse Practitioner (Family)
1201 N 18TH ST
ABILENE, TX 79601
Nurse Practitioner (Acute Care)
1201 N 18TH ST
ABILENE, TX 79601
Nurse Practitioner
1201 N 18TH ST
ABILENE, TX 79601
Internal Medicine (Cardiovascular Disease)
1201 N 18TH ST
ABILENE, TX 79601
Internal Medicine (Cardiovascular Disease)
1201 N 18TH ST
ABILENE, TX 79601

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 Joji Varghese's NPI number?

The NPI number for Joji Varghese is 1053479683. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Joji Varghese located?

Joji Varghese practices at 1201 N 18th St, Abilene, TX 79601. The listed phone number is (325) 793-3100.

What is Joji Varghese's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Joji Varghese enrolled in Medicare?

Yes. Joji Varghese 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.

What insurance does Joji Varghese accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Joji Varghese as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joji Varghese affiliated with any hospitals?

According to CMS data, Joji Varghese is affiliated with Medical City North Hills, Medical City Weatherford, Hendrick Medical Center and Medical City Fort Worth.

When was this NPI record last updated?

The NPPES record for Joji Varghese was last updated on June 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.