VARGHESE PARAMBI MD
NPI 1386645257
Internal Medicine - Nephrology in Great Falls, MT

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
2800 11TH AVE S, SUITE #29, GREAT FALLS, MT 59405(406) 771-6800(406) 771-6805 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2024, Apr 6, 2021 (2 updates tracked since 2021).

About Varghese Parambi Md NPPES

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

VARGHESE PARAMBI MD (NPI 1386645257) is an individual nephrology provider in Great Falls, Montana, licensed in Montana (10588) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1386645257
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameVARGHESE PARAMBICredential: MD
Location Address2800 11TH AVE S, SUITE #29Great Falls, MT 59405-5263
Mailing Address2800 11th Ave S, Suite #29Great Falls, MT 59405-5263 · (406) 771-6800 · Fax (406) 771-6805
Fax(406) 771-6805
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 2, 2005
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
NPI 1386645257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MT · 10588
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2800 11TH AVE S, Great Falls, MT 59405

Other Identifiers 1

Medicaid0074783MT

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

Varghese Parambi 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 ID2961498704
PECOS Enrollment IDI20040707001317, I20050104000993
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 11

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.
631 services122 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.
236 services122 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
232 services37 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
191 services43 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
156 services48 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
105 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

P H S Indian Hospital At Browning - Blackfeet

Acute Care Hospitals · Browning, MT
OwnershipGovernment - Federal
CMS Certification Number270074
Location760 Hospital Circle, Post Office Box 760Browning, MT 59417 · Glacier County
Emergency services

Great Falls Clinic Hospital

Acute Care Hospitals · Great Falls, MT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number270086
Location3010 15th Avenue SouthGreat Falls, MT 59405 · Cascade County
Emergency services

Pondera Medical Center

Critical Access Hospitals · Conrad, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271324
Location805 Sunset BlvdConrad, MT 59425 · Pondera County
Emergency services

Northern Montana Hospital

Critical Access Hospitals · Havre, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271348
Location30 13th StHavre, MT 59501 · Hill County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers24 claims1,366 services$1.60 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
13 suppliers177 claims12,024 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers97 claims11,790 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers77 claims9,960 services$0.18 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers71 claims8,760 services$0.96 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
13 suppliers173 claims173 services$18.06 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 12

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

Family Medicine
2800 11TH AVE S, SUITE 13
GREAT FALLS, MT 59405
Ophthalmology
2800 11TH AVE S, SUITE 14
GREAT FALLS, MT 59405
Pharmacy (Community/Retail Pharmacy)
2800 11TH AVE S
GREAT FALLS, MT 59405
Ophthalmology
2800 11TH AVE S, SUITE 18
GREAT FALLS, MT 59405
Urology
2800 11TH AVE S, SUITE 14
GREAT FALLS, MT 59405
Family Medicine
2800 11TH AVE S, SUITE #12
GREAT FALLS, MT 59405
Dentist
2800 11TH AVE S, SUITE 24
GREAT FALLS, MT 59405
Nurse Practitioner (Women's Health)
2800 11TH AVE S, STE 14
GREAT FALLS, MT 59405

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 Varghese Parambi's NPI number?

The NPI number for Varghese Parambi is 1386645257. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Varghese Parambi located?

Varghese Parambi practices at 2800 11th Ave S Suite #29, Great Falls, MT 59405. The listed phone number is (406) 771-6800.

What is Varghese Parambi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Varghese Parambi enrolled in Medicare?

Yes. Varghese Parambi 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 Varghese Parambi accept?

Health plans from Blue Cross and Blue Shield of Montana, PacificSource Health Plans and Providence Health Plan list Varghese Parambi 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 Varghese Parambi affiliated with any hospitals?

According to CMS data, Varghese Parambi is affiliated with Benefis Hospitals Inc, P H S Indian Hospital At Browning - Blackfeet, Great Falls Clinic Hospital, Pondera Medical Center and Northern Montana Hospital.

When was this NPI record last updated?

The NPPES record for Varghese Parambi was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.