DR. PRABHU D VIJAYVARGIYA MD
NPI 1487705265
Internal Medicine - Pulmonary Disease in Enid, OK

Q: What is Prabhu Vijayvargiya's NPI number?

The NPI number for Prabhu Vijayvargiya is 1487705265. It was assigned to this individual provider in the NPPES registry on January 16, 2007. The provider is also known as Prabhu D Vijayvargiya M.D.

Q: What is Prabhu Vijayvargiya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment

94.7/100

CMS Quality Rating

615 E OKLAHOMA AVE STE 208, ENID, OK 73701(814) 335-0580 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2024, Dec 8, 2022 (2 updates tracked since 2022).

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About Dr. Prabhu D Vijayvargiya Md NPPES

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

DR. PRABHU D VIJAYVARGIYA MD (NPI 1487705265) is an individual pulmonary disease provider in Enid, Oklahoma, licensed in Oklahoma (26689) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with St Mary's Regional Medical Center, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1487705265

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. PRABHU D VIJAYVARGIYACredential: MD

Location Address615 E OKLAHOMA AVE STE 208Enid, OK 73701-5952

Mailing AddressPo Box 3885Enid, OK 73702-3885 · (814) 335-0580

Phone(814) 335-0580

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateJanuary 16, 2007

Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1487705265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in OK · 26689

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 26689 (OK)

615 E OKLAHOMA AVE STE 208, Enid, OK 73701

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Other Names 1

Other Name (5)Prabhu D Vijayvargiya M.d

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Dr. Prabhu D Vijayvargiya 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 ID5294883138

PECOS Enrollment IDI20090501000364

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 14

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.

157 services137 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

122 services120 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.

63 services63 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.

57 services24 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

46 services46 patients

Test to measure expiratory airflow and volume 94010

38 services38 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.

34 services33 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

32 services32 patients

Test to examine how well the lungs exchange gases 94729

23 services22 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

17 services17 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

16 services16 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

12 services12 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

St Mary's Regional Medical Center

Acute Care Hospitals · Enid, OK

4/5 CMS rating

OwnershipProprietary

CMS Certification Number370026

Location305 South 5th StreetEnid, OK 73701 · Garfield County

Emergency services Birthing friendly

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370028

Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County

Emergency services Birthing friendly

Fairview Regional Medical Center Authority

Critical Access Hospitals · Fairview, OK

OwnershipGovernment - Hospital District or Authority

CMS Certification Number371329

Location523 East State RoadFairview, OK 73737 · Major County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73701 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

94.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.41

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 12

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers31 claims60 services$1.47 avg. paid by Medicare

Small volume nonfiltered pneumatic nebulizer, disposable A7004

DME-Other DME · category DE000N

1 supplier25 claims50 services$1.02 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

3 suppliers27 claims29 services$16.95 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$53.02 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers24 claims24 services$918.80 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

6 suppliers61 claims63 services$92.89 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

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

DANIEL DEAN WASHBURN MD

Internal Medicine

615 E OKLAHOMA AVE STE 208
ENID, OK 73701

Garfield County (580) 242-3090

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 Prabhu Vijayvargiya's NPI number?

The NPI number for Prabhu Vijayvargiya is 1487705265. It was assigned to this individual provider in the NPPES registry on January 16, 2007. The provider is also known as Prabhu D Vijayvargiya M.D.

Where is Prabhu Vijayvargiya located?

Prabhu Vijayvargiya practices at 615 E Oklahoma Ave Ste 208, Enid, OK 73701. The listed phone number is (814) 335-0580.

What is Prabhu Vijayvargiya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Prabhu Vijayvargiya enrolled in Medicare?

Yes. Prabhu Vijayvargiya 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 Prabhu Vijayvargiya accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 5 other insurers list Prabhu Vijayvargiya 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 Prabhu Vijayvargiya affiliated with any hospitals?

According to CMS data, Prabhu Vijayvargiya is affiliated with St Mary's Regional Medical Center, Integris Baptist Medical Center, Inc and Fairview Regional Medical Center Authority.

When was this NPI record last updated?

The NPPES record for Prabhu Vijayvargiya was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.