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DR. VAHAG VARTANIAN M.D.
NPI 1578525580
Psychiatry & Neurology - Psychiatry in Racine, WI

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
1320 WISCONSIN AVE, RACINE, WI 53403(262) 687-2222(262) 687-2495 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Sep 15, 2017 (2 updates tracked since 2017).

About Dr. Vahag Vartanian M.d. NPPES

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

DR. VAHAG VARTANIAN M.D. (NPI 1578525580) is an individual psychiatry provider in Racine, Wisconsin, licensed in Wisconsin (62181) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2002).

NPPES Registry Identity

NPI1578525580
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. VAHAG VARTANIANCredential: M.D.
Location Address1320 WISCONSIN AVERacine, WI 53403-1978
Mailing Address1320 Wisconsin AveRacine, WI 53403-1978 · (262) 687-2222 · Fax (262) 687-2495
Phone(262) 687-2222
Fax(262) 687-2495
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2002
Enumeration DateApril 5, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1578525580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 62181
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1320 WISCONSIN AVE, Racine, WI 53403
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Other Identifiers 1

Medicaid1578525580WI

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vahag Vartanian 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 ID8921221169
PECOS Enrollment IDI20140515002076
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 Vahag Vartanian reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension St Francis Hospital, Inc
20 mi
General Acute Care Hospital
3237 S 16TH ST
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4 clinicians in this Medicare group
NPI 1225087190 (414) 647-5000
Ascension Medical Group-Southeast Wisconsin Inc
24 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000

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

Areas of Expertise CMS Part B claims 4

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.
249 services98 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services19 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.
21 services20 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53403 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

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.

KATHLEEN RASMUSSEN LPC
Counselor (Professional)
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2222
MARY C. MANNING N.P.
Nurse Practitioner
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2363
DENISE A KELLER COTA
Occupational Therapy Assistant
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2640
MARY BEDFORD
Social Worker
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2380
DR. MEAGHAN KAITLIN DOHERTY M.D.
Student in an Organized Health Care Education/Training Program
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-5600
JEREMY R. BENNETT RD
Dietitian, Registered
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2781
WFHC - ALL SAINTS
Psychiatric Hospital
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-4011
MELANIE A BUCHAKLIAN LPC
Counselor (Professional)
1320 WISCONSIN AVE
RACINE, WI 53403
Racine County (262) 687-2222

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 Vahag Vartanian's NPI number?

The NPI number for Vahag Vartanian is 1578525580. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Vahag Vartanian located?

Vahag Vartanian practices at 1320 Wisconsin Ave, Racine, WI 53403. The listed phone number is (262) 687-2222.

What is Vahag Vartanian's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Vahag Vartanian enrolled in Medicare?

Yes. Vahag Vartanian 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.

Which organizations bill Medicare for Vahag Vartanian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vahag Vartanian reassigns Medicare benefits to 2 organizations: Ascension St Francis Hospital, Inc (Milwaukee, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). 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 Vahag Vartanian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vahag Vartanian accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Vahag Vartanian 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 Vahag Vartanian affiliated with any hospitals?

According to CMS data, Vahag Vartanian is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Vahag Vartanian was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.