DR. VIVEK KIRPARAM VERMA M.D.
NPI 1104089945
Family Medicine - Adult Medicine in Harker Heights, TX

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment
77.52/100
CMS Quality Rating
850 W CENTRAL TEXAS EXPY, HARKER HEIGHTS, TX 76548(402) 708-7400 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Vivek Kirparam Verma M.d. NPPES

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

DR. VIVEK KIRPARAM VERMA M.D. (NPI 1104089945) is an individual adult medicine provider in Harker Heights, Texas, licensed in Texas (P9482) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Central Texas, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1104089945
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. VIVEK KIRPARAM VERMACredential: M.D.
Location Address850 W CENTRAL TEXAS EXPYHarker Heights, TX 76548-1890
Mailing Address509 Apache DrCedar Park, TX 78613 · (402) 708-7400
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 2, 2008
Last NPPES UpdateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
NPI 1104089945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in TX · P9482
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
850 W CENTRAL TEXAS EXPY, Harker Heights, TX 76548

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

Dr. Vivek Kirparam Verma 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 ID8527230119
PECOS Enrollment IDI20140925001877
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.

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.
414 services379 patients
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.
388 services241 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.
221 services137 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.
161 services157 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.
136 services64 patients

Hospital Affiliations CMS Care Compare 5

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

Adventhealth Central Texas

Acute Care Hospitals · Killeen, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450152
Location2201 S Clear Creek RoadKilleen, TX 76542 · Bell County
Emergency services Birthing friendly

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Woodland Heights Medical Center

Acute Care Hospitals · Lufkin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450484
Location505 South John Redditt DriveLufkin, TX 75904 · Angelina County
Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

Seton Medical Center Harker Heights

Acute Care Hospitals · Harker Heights, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670080
Location850 W Central Texas ExpresswayHarker Heights, TX 76548 · Bell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76548 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

77.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.91
Improvement Activities40
Cost65.79

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%282 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers84 claims84 services$15.91 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 supplier15 claims15 services$918.67 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers88 claims88 services$83.98 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims13 services$23.33 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.

Anesthesiology
850 W CENTRAL TEXAS EXPY
HARKER HEIGHTS, TX 76548
Pediatrics
850 W CENTRAL TEXAS EXPY
HARKER HEIGHTS, TX 76548
Nurse Practitioner
850 W CENTRAL TEXAS EXPY
HARKER HEIGHTS, TX 76548
Nurse Practitioner (Family)
850 W CENTRAL TEXAS EXPY
HARKER HEIGHTS, TX 76548
Emergency Medicine
850 W CENTRAL TEXAS EXPY
HARKER HEIGHTS, TX 76548
Internal Medicine (Cardiovascular Disease)
850 W CENTRAL TEXAS EXPY
HARKER HEIGHTS, TX 76548
Internal Medicine (Pulmonary Disease)
850 W CENTRAL TEXAS EXPY
HARKER HEIGHTS, TX 76548
Physician Assistant
850 W CENTRAL TEXAS EXPY
HARKER HEIGHTS, TX 76548

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 Vivek Verma's NPI number?

The NPI number for Vivek Verma is 1104089945. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Vivek Verma located?

Vivek Verma practices at 850 W Central Texas Expy, Harker Heights, TX 76548. The listed phone number is (402) 708-7400.

What is Vivek Verma's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Vivek Verma enrolled in Medicare?

Yes. Vivek Verma 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 Vivek Verma accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Vivek Verma 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 Vivek Verma affiliated with any hospitals?

According to CMS data, Vivek Verma is affiliated with Adventhealth Central Texas, St David's Medical Center, Woodland Heights Medical Center, Round Rock Medical Center and Seton Medical Center Harker Heights.

When was this NPI record last updated?

The NPPES record for Vivek Verma was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.