DR. DONA VARGHESE MD
NPI 1073895223
Internal Medicine - Geriatric Medicine in Syracuse, NY

Active since September 14, 2011PECOS EnrolledAccepts Medicare Assignment
81.63/100
CMS Quality Rating
725 E. ADAMS ST., 2ND FL, SYRACUSE, NY 13210(315) 464-6100(315) 464-9246 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2024, Nov 25, 2015 (2 updates tracked since 2015).

About Dr. Dona Varghese Md NPPES

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

DR. DONA VARGHESE MD (NPI 1073895223) is an individual geriatric medicine provider in Syracuse, New York, licensed in New York (305288) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1073895223
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameDR. DONA VARGHESECredential: MD
Location Address725 E. ADAMS ST., 2ND FLSyracuse, NY 13210
Mailing Address725 E. Adams St., 2nd FlSyracuse, NY 13210 · (315) 464-6100 · Fax (315) 464-9246
Fax(315) 464-9246
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 14, 2011
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPI 1073895223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in NY · 305288
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
725 E. ADAMS ST., Syracuse, NY 13210

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

Dr. Dona Varghese Md 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 ID2365751393
PECOS Enrollment IDI20200911002808
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 4

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
164 services121 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
58 services58 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
48 services45 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.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
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.

81.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.86
Promoting Interoperability100
Improvement Activities40
Cost52.79

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
725 E. ADAMS ST., 5TH FLOOR
SYRACUSE, NY 13210
Internal Medicine
725 E. ADAMS ST., 3RD FL
SYRACUSE, NY 13210
Nurse Practitioner (Family)
725 E. ADAMS ST., 4TH FLOOR
SYRACUSE, NY 13210
Nurse Practitioner (Adult Health)
725 E. ADAMS ST., 2ND FL
SYRACUSE, NY 13210
Nurse Practitioner (Family)
725 E. ADAMS ST., 4TH FLOOR
SYRACUSE, NY 13210
Internal Medicine (Geriatric Medicine)
725 E. ADAMS ST., 2ND FL
SYRACUSE, NY 13210

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 Dona Varghese's NPI number?

The NPI number for Dona Varghese is 1073895223. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Where is Dona Varghese located?

Dona Varghese practices at 725 E. Adams St. 2nd Fl, Syracuse, NY 13210. The listed phone number is (315) 464-6100.

What is Dona Varghese's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Dona Varghese enrolled in Medicare?

Yes. Dona 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.

Is Dona Varghese affiliated with any hospitals?

According to CMS data, Dona Varghese is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Dona Varghese was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.