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DR. SEFTON VERGANO MD
NPI 1427266717
Internal Medicine - Endocrinology, Diabetes & Metabolism in Lawrenceville, NJ

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3100 PRINCETON PIKE, BUILDING 4, SUITE G, LAWRENCEVILLE, NJ 08648(609) 896-0075 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sefton Vergano Md NPPES

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

DR. SEFTON VERGANO MD (NPI 1427266717) is an individual endocrinology, diabetes & metabolism provider in Lawrenceville, New Jersey, licensed in New Jersey (25MA08613800) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1427266717
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SEFTON VERGANOCredential: MD
Location Address3100 PRINCETON PIKE, BUILDING 4, SUITE GLawrenceville, NJ 08648-2300
Mailing Address3100 Princeton Pike, Building 4, Suite GLawrenceville, NJ 08648-2300 · (609) 896-0075
Phone(609) 896-0075
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 18, 2007
Last NPPES UpdateNovember 9, 2016
✔ NPI 1427266717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NJ · 25MA08613800
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT184134 (PA)
3100 PRINCETON PIKE, Lawrenceville, NJ 08648
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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

Dr. Sefton Vergano 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 ID9830236603
PECOS Enrollment IDI20091027000702
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 9

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 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.
713 services319 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
130 services50 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.
117 services96 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
65 services64 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08648 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%316 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers17 claims221 services$18.29 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers17 claims630 services$2.24 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
51 suppliers182 claims511 services$6.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
36 suppliers109 claims164 services$1.08 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers15 claims15 services$304.95 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
13 suppliers403 claims410 services$193.05 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.

HOWARD STEPHEN FARMER, MD, P.C.
Otolaryngology
3100 PRINCETON PIKE, BLDG 4 SUITE 2G
LAWRENCEVILLE, NJ 08648
Mercer County (609) 895-6655
HAROLD D. GREENFIELD DMD
Dentist
3100 PRINCETON PIKE, BUILDING 3
LAWRENCEVILLE, NJ 08648
Mercer County (609) 896-1313
DANIEL ROQUE FELBAUM MD
Neurological Surgery
3100 PRINCETON PIKE, BUILDING 3, SUITE D
LAWRENCEVILLE, NJ 08648
Mercer County (844) 464-6387
DR. SARAH ANNE WERBEL M.D.
Internal Medicine
3100 PRINCETON PIKE, BLDG 4, SUITE I
LAWRENCEVILLE, NJ 08648
Mercer County (609) 896-0303
PRINCETON PIKE INTERNAL MEDICINE
Internal Medicine
3100 PRINCETON PIKE, BLDG 3, 3RD FLOOR
LAWRENCEVILLE, NJ 08648
Mercer County (609) 896-1793
MS. KAREN DUARTE PA-C
Physician Assistant
3100 PRINCETON PIKE
LAWRENCEVILLE, NJ 08648
Mercer County (609) 895-6655
PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC
Internal Medicine
3100 PRINCETON PIKE, BLDG 3, 3RD FLOOR
LAWRENCEVILLE, NJ 08648
Mercer County (609) 896-1793
STEADY HANDS DENTISTRY LLC
Clinic/Center (Dental)
3100 PRINCETON PIKE, BUILDING 4 SUITE E
LAWRENCEVILLE, NJ 08648
Mercer County (609) 895-8844

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 Sefton Vergano's NPI number?

The NPI number for Sefton Vergano is 1427266717. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Sefton Vergano located?

Sefton Vergano practices at 3100 Princeton Pike Building 4, Suite G, Lawrenceville, NJ 08648. The listed phone number is (609) 896-0075.

What is Sefton Vergano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sefton Vergano enrolled in Medicare?

Yes. Sefton Vergano 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.

Is Sefton Vergano affiliated with any hospitals?

According to CMS data, Sefton Vergano is affiliated with University Medical Center Of Princeton At Plainsboro, Capital Health Medical Center - Hopewell and Robert Wood Johnson University Hospital At Hamilton.

When was this NPI record last updated?

The NPPES record for Sefton Vergano was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.