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DR. GISELA VARGAS M.D.
NPI 1275894834
Internal Medicine in Allentown, PA

Active since May 30, 2012PECOS EnrolledAccepts Medicare Assignment
3080 HAMILTON BLVD, SUITE 350, ALLENTOWN, PA 18103(484) 661-4650(610) 402-1153 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Gisela Vargas M.d. NPPES

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

DR. GISELA VARGAS M.D. (NPI 1275894834) is an individual internal medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD455242) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275894834
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. GISELA VARGASCredential: M.D.
Location Address3080 HAMILTON BLVD, SUITE 350Allentown, PA 18103-3694
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Phone(484) 661-4650
Fax(610) 402-1153
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 30, 2012
Last NPPES UpdateFebruary 11, 2016
✔ NPI 1275894834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD455242
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3080 HAMILTON BLVD, Allentown, PA 18103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Gisela Vargas 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 ID1951549120
PECOS Enrollment IDI20150723007814
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 Reassignments

2

Medicare enrollment records show Gisela Vargas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lehigh Valley Physician Group
Same address
Internal Medicine
3080 HAMILTON BLVD, SUITE 350
Allentown, PA 18103
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1114001401 (484) 661-4650
Valley Health Partners Community Health Center
1.9 mi
Federally Qualified Health Center (FQHC)
400 N 17TH ST STE 300
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 296 clinicians in this Medicare group
NPI 1912532888 (610) 969-4300

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
101 services101 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.
88 services75 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.
60 services29 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.
26 services24 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
26 services26 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers37 claims82 services$5.08 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers17 claims18 services$0.82 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims66 services$1.76 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers11 claims11 services$20.46 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.

YEHIA MISHRIKI MD
Internal Medicine
3080 HAMILTON BLVD, SUITE 350
ALLENTOWN, PA 18103
Lehigh County (484) 661-4650
CHERYL BLOOMFIELD MD
Internal Medicine
3080 HAMILTON BLVD, SUITE 350
ALLENTOWN, PA 18103
Lehigh County (484) 661-4650
DR. JENNIFER LYNN STEPHENS DO
Internal Medicine
3080 HAMILTON BLVD, SUITE 350
ALLENTOWN, PA 18103
Lehigh County (484) 661-4650
MARIE O'BRIEN D.O.
Internal Medicine (Rheumatology)
3080 HAMILTON BLVD, SUITE 300
ALLENTOWN, PA 18103
Lehigh County (610) 776-5038
LEHIGH VALLEY PHYSICIAN GROUP
Internal Medicine
3080 HAMILTON BLVD, SUITE 350
ALLENTOWN, PA 18103
Lehigh County (484) 661-4650
CARLA KALYMUN
Nurse Practitioner (Acute Care)
3080 HAMILTON BLVD, STE 200
ALLENTOWN, PA 18103
Lehigh County (610) 776-1603
LEHIGH VALLEY HOSPITAL
Clinic/Center
3080 HAMILTON BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-8000
CAROLYN CASEY D.O.
Internal Medicine (Rheumatology)
3080 HAMILTON BLVD, SUITE 300
ALLENTOWN, PA 18103
Lehigh County (610) 776-5038

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 Gisela Vargas's NPI number?

The NPI number for Gisela Vargas is 1275894834. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Gisela Vargas located?

Gisela Vargas practices at 3080 Hamilton Blvd Suite 350, Allentown, PA 18103. The listed phone number is (484) 661-4650.

What is Gisela Vargas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gisela Vargas enrolled in Medicare?

Yes. Gisela Vargas 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 organizations bill Medicare for Gisela Vargas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gisela Vargas reassigns Medicare benefits to 2 organizations: Lehigh Valley Physician Group (Allentown, PA) and Valley Health Partners Community Health Center (Allentown, PA). Each 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 Gisela Vargas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gisela Vargas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Gisela Vargas 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 Gisela Vargas affiliated with any hospitals?

According to CMS data, Gisela Vargas is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Gisela Vargas was last updated on February 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.