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MS. FLORA POIKAYIL VARGHESE MD
NPI 1629139928
Surgery in Denton, TX

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
3537 S I 35 E STE 111, DENTON, TX 76210(817) 759-7000(817) 759-7027 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2026, Feb 6, 2025, Oct 15, 2019 and 2 more (5 updates tracked since 2017).

About Ms. Flora Poikayil Varghese Md NPPES

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

MS. FLORA POIKAYIL VARGHESE MD (NPI 1629139928) is an individual surgery provider in Denton, Texas, licensed in Texas (M6930) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Medical City Denton, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1629139928
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMS. FLORA POIKAYIL VARGHESECredential: MD
Location Address3537 S I 35 E STE 111Denton, TX 76210-6868
Mailing Address2208 Glacier CtCarrollton, TX 75006-1536 · (530) 749-2409 · Fax (530) 751-4793
Phone(817) 759-7000
Fax(817) 759-7027
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateDecember 12, 2006
Last NPPES UpdateMarch 6, 20265 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1629139928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in TX · M6930✔ Licensed in TX · BP10024434
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3537 S I 35 E STE 111, Denton, TX 76210
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12900 N I 35 Ste 111Denton, TX 76201-5142 · Phone (817) 759-7000
Location 24215 Joe Ramsey Blvd, Suite 220Greenville, TX 75402 · Phone (903) 408-5770 · Fax (903) 408-5779
Location 3800 W Magnolia AveFort Worth, TX 76104-4611 · Phone (817) 759-7000 · Fax (817) 759-7027

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas 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

Ms. Flora Poikayil Varghese 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 ID1557686516
PECOS Enrollment IDI20150213001698
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 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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services47 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
25 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Texas Health Presbyterian Hospital Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450743
Location3000 N I-35Denton, TX 76201 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76210 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

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 Flora Varghese's NPI number?

The NPI number for Flora Varghese is 1629139928. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Flora Varghese located?

Flora Varghese practices at 3537 S I 35 E Ste 111, Denton, TX 76210. The listed phone number is (817) 759-7000.

What is Flora Varghese's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Flora Varghese enrolled in Medicare?

Yes. Flora Varghese 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 Flora Varghese accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Flora Varghese 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 Flora Varghese affiliated with any hospitals?

According to CMS data, Flora Varghese is affiliated with Medical City Denton and Texas Health Presbyterian Hospital Denton.

When was this NPI record last updated?

The NPPES record for Flora Varghese was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.