DR. CUNEGUNDO M VERGARA M.D.
NPI 1609977552
Internal Medicine in Hartford, CT

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
86.41/100
CMS Quality Rating
80 SEYMOUR STREET, HARTFORD HOSPITAL GENERAL MEDICINE, HARTFORD, CT 06102(860) 545-0500 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Cunegundo M Vergara M.d. NPPES

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

DR. CUNEGUNDO M VERGARA M.D. (NPI 1609977552) is an individual internal medicine provider in Hartford, Connecticut, licensed in Connecticut (036414) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1992).

NPPES Registry Identity

NPI1609977552
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CUNEGUNDO M VERGARACredential: M.D.
Location Address80 SEYMOUR STREET, HARTFORD HOSPITAL GENERAL MEDICINEHartford, CT 06102
Mailing AddressHartford Hospital Professional Services, Po Box 40,000 Dept 634Hartford, CT 06151-0634 · (860) 545-7602
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1992
Enumeration DateSeptember 25, 2006
Last NPPES UpdateFebruary 27, 2008
NPI 1609977552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 036414
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
80 SEYMOUR STREET, Hartford, CT 06102

Other Identifiers 1

Medicare UPING33792CT

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. Cunegundo M Vergara 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 ID547386864
PECOS Enrollment IDI20100923001372
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 7

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.

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.
128 services74 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.
95 services72 patients
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.
37 services23 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.
30 services22 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06102 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

Referred Medical Equipment & Supplies CMS DME claims 3

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
12 suppliers41 claims90 services$6.45 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers25 claims34 services$1.10 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier13 claims13 services$27.48 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.

Physician Assistant (Surgical)
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102
Dietitian, Registered
80 SEYMOUR STREET, HARTFORD HOSPITAL FOOD & NUTRITION SERVICES
HARTFORD, CT 06102
Thoracic Surgery (Cardiothoracic Vascular Surgery)
80 SEYMOUR STREET, CARDIAC SURGERY
HARTFORD, CT 06102
Psychiatry & Neurology (Psychiatry)
80 SEYMOUR STREET, HARTFORD HOSPITAL
HARTFORD, CT 06102
Physician Assistant (Medical)
80 SEYMOUR STREET, HARTFORD HOSPITAL MEDICINE DEPT
HARTFORD, CT 06102
Physician Assistant (Medical)
80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINE
HARTFORD, CT 06102
Student in an Organized Health Care Education/Training Program
80 SEYMOUR STREET
HARTFORD, CT 06102
Physician Assistant
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102

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 Cunegundo Vergara's NPI number?

The NPI number for Cunegundo Vergara is 1609977552. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Cunegundo Vergara located?

Cunegundo Vergara practices at 80 Seymour Street Hartford Hospital General Medicine, Hartford, CT 06102. The listed phone number is (860) 545-0500.

What is Cunegundo Vergara's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Cunegundo Vergara enrolled in Medicare?

Yes. Cunegundo Vergara 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 Cunegundo Vergara was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.