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DR. PAUL VARUGHESE M.D.
NPI 1497800064
Pediatrics in Durant, OK

Active since January 24, 2007PECOS Enrolled
1400 BRYAN DR STE 201, DURANT, OK 74701(580) 931-2290(580) 931-2288 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Paul Varughese M.d. NPPES

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

DR. PAUL VARUGHESE M.D. (NPI 1497800064) is an individual pediatrics provider in Durant, Oklahoma, licensed in Oklahoma (26824) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497800064
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PAUL VARUGHESECredential: M.D.
Location Address1400 BRYAN DR STE 201Durant, OK 74701-2157
Mailing Address1400 Bryan Dr Ste 201Durant, OK 74701-2157 · (580) 931-2290 · Fax (580) 931-2288
Phone(580) 931-2290
Fax(580) 931-2288
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateSeptember 3, 2020
NPPES CertifiedSeptember 3, 2020
✔ NPI 1497800064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in OK · 26824✔ Licensed in FL · ME 97642
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1400 BRYAN DR STE 201, Durant, OK 74701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Varughese M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Paul Varughese reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Durant Hma Physician Management, LLC
Same address
Internal Medicine
1400 BRYAN DR, SUITE 301
Durant, OK 74701
  • Reassigned Medicare billing, Oklahoma enrollment
  • 35 clinicians in this Medicare group
NPI 1043361116 (580) 920-0105
Marshall County Hma LLC
0.4 mi
Family Medicine
1610 W UNIVERSITY BLVD
Durant, OK 74701
  • Reassigned Medicare billing, Oklahoma enrollment
  • 17 clinicians in this Medicare group
NPI 1356874374 (580) 924-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74701 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 14

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

REIKA ELIZABETH TAKITA DO
Family Medicine
1400 BRYAN DR STE 201
DURANT, OK 74701
Bryan County (580) 924-5500
CAITLIN A SPINNEY DO
Family Medicine
1400 BRYAN DR STE 201
DURANT, OK 74701
Bryan County (817) 247-7556
BRADY LIU
Family Medicine
1400 BRYAN DR STE 201
DURANT, OK 74701
Bryan County (580) 924-5500
JUSTIN AARON RIVERA PATAWARAN DO
Family Medicine
1400 BRYAN DR STE 201
DURANT, OK 74701
Bryan County (580) 924-5500
DURANT FAMILY MEDICINE CLINIC, INC
Family Medicine
1400 BRYAN DR STE 201
DURANT, OK 74701
Bryan County (580) 924-5500
BANESA KASSANDRA VAZQUEZ DO
Family Medicine
1400 BRYAN DR STE 201
DURANT, OK 74701
Bryan County (580) 924-3080
DR. KYNADI JAE ROLLINS DO
Family Medicine
1400 BRYAN DR STE 201
DURANT, OK 74701
Bryan County (580) 924-5500
DR. ANUSHA VENDHOTI MD
Family Medicine
1400 BRYAN DR STE 201
DURANT, OK 74701
Bryan County (580) 924-5500

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 Paul Varughese's NPI number?

The NPI number for Paul Varughese is 1497800064. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Paul Varughese located?

Paul Varughese practices at 1400 Bryan Dr Ste 201, Durant, OK 74701. The listed phone number is (580) 931-2290.

What is Paul Varughese's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Paul Varughese enrolled in Medicare?

Yes. Paul Varughese is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Varughese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Varughese reassigns Medicare benefits to 2 organizations: Durant Hma Physician Management, LLC (Durant, OK) and Marshall County Hma LLC (Durant, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Varughese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Varughese accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Paul Varughese 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.

When was this NPI record last updated?

The NPPES record for Paul Varughese was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.