DORIS VARGAS PA-C
NPI 1316445588
Physician Assistant in Beloit, WI

Active since January 23, 2018PECOS EnrolledAccepts Medicare Assignment
79.8/100
CMS Quality Rating
1969 W HART RD, BELOIT, WI 53511(608) 364-5011 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2020, May 17, 2019 (2 updates tracked since 2019).

About Doris Vargas Pa-c NPPES

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

DORIS VARGAS PA-C (NPI 1316445588) is an individual physician assistant in Beloit, Wisconsin, licensed in Wisconsin (4184-23) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Stoughton Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1316445588
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDORIS VARGASCredential: PA-C
Location Address1969 W HART RDBeloit, WI 53511-2230
Mailing Address4514 Hammersley Rd Apt 5Madison, WI 53711-2752
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 23, 2018
Last NPPES UpdateNovember 3, 20202 updates tracked since enumeration
NPPES CertifiedNovember 3, 2020
NPI 1316445588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 4184-23
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1969 W HART RD, Beloit, WI 53511

Accepted Insurance

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

Doris Vargas Pa-c 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 ID5597025379
PECOS Enrollment IDI20180216001399
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 2

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.
17 services17 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

79.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.94
Promoting Interoperability100
Improvement Activities40
Cost39.73

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.

Internal Medicine (Cardiovascular Disease)
1969 W HART RD
BELOIT, WI 53511
Speech-Language Pathologist
1969 W HART RD, BELOIT HEALTH SYSTEM INC/ BELOIT MEMORIAL HOSPITAL
BELOIT, WI 53511
Social Worker (Clinical)
1969 W HART RD
BELOIT, WI 53511
Counselor (Professional)
1969 W HART RD
BELOIT, WI 53511
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1969 W HART RD
BELOIT, WI 53511
Radiology (Diagnostic Radiology)
1969 W HART RD
BELOIT, WI 53511
Physician Assistant
1969 W HART RD
BELOIT, WI 53511
Anesthesiology
1969 W HART RD, BELOIT MEMORIAL HOSPITAL
BELOIT, WI 53511

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 Doris Vargas's NPI number?

The NPI number for Doris Vargas is 1316445588. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Where is Doris Vargas located?

Doris Vargas practices at 1969 W Hart Rd, Beloit, WI 53511. The listed phone number is (608) 364-5011.

What is Doris Vargas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Doris Vargas enrolled in Medicare?

Yes. Doris 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.

What insurance does Doris Vargas accept?

Health plans from Anthem Blue Cross and Blue Shield and Group Health Cooperative-SCW list Doris 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 Doris Vargas affiliated with any hospitals?

According to CMS data, Doris Vargas is affiliated with Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Doris Vargas was last updated on November 3, 2020. 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.