BIJU VARUGHESE M.D.
NPI 1437168531
Family Medicine in Sacramento, CA

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
3000 Q ST, SACRAMENTO, CA 95816(916) 733-3333 Get Directions Write a Review

NPPES record last updated: February 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Biju Varughese M.d. NPPES

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

BIJU VARUGHESE M.D. (NPI 1437168531) is an individual family medicine provider in Sacramento, California, licensed in California (A83343) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1437168531
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBIJU VARUGHESECredential: M.D.
Location Address3000 Q STSacramento, CA 95816-7058
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 7, 2006
Last NPPES UpdateFebruary 13, 2012
NPI 1437168531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A83343
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3000 Q ST, Sacramento, CA 95816

Other Identifiers 13

Other000810568677CA · Phcs
Other1710757CA · Great West
Other2358917CA · United Healthcare
Medicare ID-Type Unspecified00A833430CA
Other2130920CA · First Health
OtherMCMG270300CA · Western Health Advantage
Other7994807CA · Cigna
Other90139556CA · Pacificare
Other98256CA · Interplan
OtherA83343CA · Blue Cross
Other7506511CA · Aetna
Other102614CA · Health Net
Medicare UPINH95734

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

Biju Varughese 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 ID8022922087
PECOS Enrollment IDI20031114000344
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 13

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.
403 services199 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.
312 services186 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
99 services22 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
74 services46 patients
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.
73 services73 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
64 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

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
13 suppliers33 claims89 services$6.26 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers21 claims36 services$1.07 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
1 supplier11 claims11 services$38.07 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers62 claims62 services$64.71 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers42 claims42 services$32.04 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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
3000 Q ST
SACRAMENTO, CA 95816
Family Medicine
3000 Q ST
SACRAMENTO, CA 95816
Podiatrist (Foot & Ankle Surgery)
3000 Q ST, 4TH FLOOR PODIATRY
SACRAMENTO, CA 95816
Obstetrics & Gynecology (Gynecology)
3000 Q ST
SACRAMENTO, CA 95816
Nurse Practitioner (Adult Health)
3000 Q ST
SACRAMENTO, CA 95816
Internal Medicine (Gastroenterology)
3000 Q ST
SACRAMENTO, CA 95816
Internal Medicine
3000 Q ST
SACRAMENTO, CA 95816
Internal Medicine (Geriatric Medicine)
3000 Q ST
SACRAMENTO, CA 95816

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 Biju Varughese's NPI number?

The NPI number for Biju Varughese is 1437168531. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Biju Varughese located?

Biju Varughese practices at 3000 Q St, Sacramento, CA 95816. The listed phone number is (916) 733-3333.

What is Biju Varughese's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Biju Varughese enrolled in Medicare?

Yes. Biju Varughese 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.

When was this NPI record last updated?

The NPPES record for Biju Varughese was last updated on February 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.