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DR. JOHN DANIEL VERGHESE MD
NPI 1275698201
Plastic Surgery in Marathon, FL

Active since December 27, 2006PECOS EnrolledAccepts Medicare Assignment
2901 OVERSEAS HWY STE 2, MARATHON, FL 33050(305) 289-1975(305) 289-1976 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. John Daniel Verghese Md NPPES

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

DR. JOHN DANIEL VERGHESE MD (NPI 1275698201) is an individual plastic surgery provider in Marathon, Florida, licensed in Florida (ME81836) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (1994).

NPPES Registry Identity

NPI1275698201
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. JOHN DANIEL VERGHESECredential: MD
Location Address2901 OVERSEAS HWY STE 2Marathon, FL 33050
Mailing Address2901 Overseas Hwy Ste 2Marathon, FL 33050-2235 · (305) 289-1975 · Fax (305) 289-1976
Phone(305) 289-1975
Fax(305) 289-1976
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1994
Enumeration DateDecember 27, 2006
Last NPPES UpdateAugust 7, 2018
✔ NPI 1275698201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in FL · ME81836
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2901 OVERSEAS HWY STE 2, Marathon, FL 33050
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Daniel Verghese 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 ID345404695
PECOS Enrollment IDI20120618000170
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.

Medicare Billing Reassignment

Medicare enrollment records show John Verghese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Keys Plastic Surgery, Inc.
3.6 mi
Surgery of the Hand
10095 OVERSEAS HWY
Marathon, FL 33050
  • Reassigned Medicare billing, Florida enrollment
NPI 1801158274 (305) 289-1975

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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 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.
164 services109 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
114 services114 patients
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm 11313
This procedure involves the careful removal of a skin growth on the face, ears, eyelids, nose, lips, or mouth that is larger than 2.0 cm. The process, known as shaving, is done under local anesthesia to ensure comfort. It's a common, safe procedure.
31 services28 patients
Shaving of skin growth of body, arms, or legs, more than 2.0 cm 11303
This procedure involves the removal of a skin growth on your body, arms, or legs that is over 2.0 cm. A special tool is used to shave off the growth, often under local anesthesia. It's a routine, safe process to maintain skin health.
29 services24 patients
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052
This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.
26 services22 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032
This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33050 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

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 John Verghese's NPI number?

The NPI number for John Verghese is 1275698201. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is John Verghese located?

John Verghese practices at 2901 Overseas Hwy Ste 2, Marathon, FL 33050. The listed phone number is (305) 289-1975.

What is John Verghese's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is John Verghese enrolled in Medicare?

Yes. John 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.

Which organization bills Medicare for John Verghese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Verghese reassigns Medicare benefits to Keys Plastic Surgery, Inc. (Marathon, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Verghese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Verghese accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list John Verghese 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.

When was this NPI record last updated?

The NPPES record for John Verghese was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.