MR. JOE VERGHESE M.D.
NPI 1235214545
Psychiatry & Neurology - Neurology in Lake Grove, NY

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
NEUROLOGY ASSOCIATES OF STONY BROOK, 4 SMITH HAVEN MALL SUITE 105, LAKE GROVE, NY 11755(631) 444-2599(631) 392-7213 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Joe Verghese M.d. NPPES

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

MR. JOE VERGHESE M.D. (NPI 1235214545) is an individual neurology provider in Lake Grove, New York, licensed in New York (232009) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1235214545
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMR. JOE VERGHESECredential: M.D.
Location AddressNEUROLOGY ASSOCIATES OF STONY BROOK, 4 SMITH HAVEN MALL SUITE 105Lake Grove, NY 11755
Mailing Address10 Bell Circle RoadPort Jefferson, NY 11777 · (631) 444-8118 · Fax (631) 392-7213
Fax(631) 392-7213
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 26, 2006
Last NPPES UpdateDecember 18, 2024
NPI 1235214545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NY · 232009
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
NEUROLOGY ASSOCIATES OF STONY BROOK, Lake Grove, NY 11755

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

Mr. Joe 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 ID8325129042
PECOS Enrollment IDI20080118000270
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11755 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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

Other Providers at the Same Location NPPES

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

Physical Medicine & Rehabilitation
NEUROLOGY ASSOCIATES OF STONY BROOK, 4 SMITH HAVEN MALL SUITE 105
LAKE GROVE, NY 11755

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 Joe Verghese's NPI number?

The NPI number for Joe Verghese is 1235214545. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Joe Verghese located?

Joe Verghese practices at Neurology Associates Of Stony Brook 4 Smith Haven Mall Suite 105, Lake Grove, NY 11755. The listed phone number is (631) 444-2599.

What is Joe Verghese's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Joe Verghese enrolled in Medicare?

Yes. Joe 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.

When was this NPI record last updated?

The NPPES record for Joe Verghese was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.