BASIL GEORGE VERGHESE M.D
NPI 1174962104
Hospitalist in Rochester, NY

Q: What is Basil Verghese's NPI number?

The NPI number for Basil Verghese is 1174962104. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Q: What is Basil Verghese's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Basil Verghese was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 24, 2013PECOS EnrolledAccepts Medicare Assignment

95.19/100

CMS Quality Rating

1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-4000 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2021, Nov 14, 2018, Jul 12, 2016 (3 updates tracked since 2016).

On this page

About Basil George Verghese M.d NPPES

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

BASIL GEORGE VERGHESE M.D (NPI 1174962104) is an individual hospitalist provider in Rochester, New York, licensed in New York (285299) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174962104

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameBASIL GEORGE VERGHESECredential: M.D

Location Address1425 PORTLAND AVERochester, NY 14621-3001

Mailing Address1425 Portland AveRochester, NY 14621-3001 · (585) 922-4000

Phone(585) 922-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 24, 2013

Last NPPES UpdateMay 14, 20213 updates tracked since enumeration

NPPES CertifiedMay 14, 2021

✔ NPI 1174962104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in NY · 285299

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.

1425 PORTLAND AVE, Rochester, NY 14621

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12 Coulter RdClifton Springs, NY 14432-1122 · Phone (315) 462-1472 · Fax (315) 462-2639

Location 21200 Driving Park AveNewark, NY 14513-1090 · Phone (315) 359-2847 · Fax (315) 359-2806

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

Basil George Verghese 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 ID9335434224

PECOS Enrollment IDI20160816002291

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.

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.

65 services29 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.

41 services25 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.

17 services17 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.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330125

Location1425 Portland AvenueRochester, NY 14621 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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.

95.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

70.62

Promoting Interoperability

100

Improvement Activities

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.

DR. NIAZ AHMED D.D.S.

Dentist

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-4000

DR. BRIAN JOHN THOMAS D.O.

Anesthesiology

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-4159

LISA NICOLE FRONCZAK PA-C

Physician Assistant

1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621

Monroe County (585) 922-4000

ANDREW ROTANDO DO

Emergency Medicine

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-3469

ALEXANDER VAZZANO MD

Emergency Medicine

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-4638

AMY BODROG MD

Internal Medicine (Hematology)

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-4020

NUMRA ASLAM BAJWA MD

Hospitalist

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (585) 922-5067

DR. PRAKASH UPRETI MD

Hospitalist

1425 PORTLAND AVE
ROCHESTER, NY 14621

Monroe County (295) 029-8769

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 Basil Verghese's NPI number?

The NPI number for Basil Verghese is 1174962104. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Where is Basil Verghese located?

Basil Verghese practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-4000.

What is Basil Verghese's specialty?

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

Is Basil Verghese enrolled in Medicare?

Yes. Basil Verghese 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 Basil Verghese affiliated with any hospitals?

According to CMS data, Basil Verghese is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Basil Verghese was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.