DR. SUNIL VERMA M.D.
NPI 1124279344
Otolaryngology in Orange, CA

Active since October 07, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
101 THE CITY DRIVE SOUTH BLDG 56 STE 500, ORANGE, CA 92868(714) 456-5753(608) 263-6199 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sunil Verma M.d. NPPES

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

DR. SUNIL VERMA M.D. (NPI 1124279344) is an individual otolaryngology provider in Orange, California, licensed in California (A94587) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2004).

NPPES Registry Identity

NPI1124279344
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SUNIL VERMACredential: M.D.
Location Address101 THE CITY DRIVE SOUTH BLDG 56 STE 500Orange, CA 92868-3201
Mailing Address101 The City Drive South Bldg 56 Ste 500Orange, CA 92868-3201 · (714) 456-5753
Fax(608) 263-6199
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2004
Enumeration DateOctober 7, 2008
Last NPPES UpdateNovember 26, 2018
NPI 1124279344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in CA · A94587
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
101 THE CITY DRIVE SOUTH BLDG 56 STE 500, Orange, CA 92868

Other Names 1

Other Name (5)Dr. Sunil Verma Md

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. Sunil 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 ID8729131495
PECOS Enrollment IDI20100722000305
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 21

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.

Exam to assess movement of vocal cord flaps using an endoscope 31579
This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.
257 services193 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
159 services121 patients
Evaluation and recording of swallowing using an endoscope 92612
This procedure, known as endoscopic evaluation of swallowing, involves using a thin, flexible tube with a camera (endoscope) to view your throat and evaluate your swallowing. It helps identify any issues that may be causing difficulty in swallowing.
62 services59 patients
Evaluation, recording, and interpretation of swallowing using an endoscope 92613
This procedure, known as endoscopic evaluation of swallowing, involves passing a thin, flexible tube with a light and camera through your nose to your throat. It helps doctors observe your swallowing process in real time, identify any issues, and plan appropriate treatments.
62 services59 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.
62 services55 patients
Exam to assess movement of vocal cord flaps using an endoscope 31579
This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.
60 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.4
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier17 claims17 services$35.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sunil Verma's NPI number?

The NPI number for Sunil Verma is 1124279344. It was assigned to this individual provider in the NPPES registry on October 7, 2008. The provider is also known as Dr. Sunil Verma MD.

Where is Sunil Verma located?

Sunil Verma practices at 101 The City Drive South Bldg 56 Ste 500, Orange, CA 92868. The listed phone number is (714) 456-5753.

What is Sunil Verma's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Sunil Verma enrolled in Medicare?

Yes. Sunil 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.

When was this NPI record last updated?

The NPPES record for Sunil Verma was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.