DR. CLEOFEMARIE S VERGARA M.D.
NPI 1639172794
Hospitalist in North Las Vegas, NV

Q: What is Cleofemarie Vergara's NPI number?

The NPI number for Cleofemarie Vergara is 1639172794. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Q: What is Cleofemarie Vergara's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment

58.85/100

CMS Quality Rating

6900 N PECOS RD, NORTH LAS VEGAS, NV 89086(702) 791-9000 Get Directions Write a Review

NPPES record last updated: March 15, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 15, 2026, Aug 7, 2023 (2 updates tracked since 2023).

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About Dr. Cleofemarie S Vergara M.d. NPPES

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

DR. CLEOFEMARIE S VERGARA M.D. (NPI 1639172794) is an individual hospitalist provider in North Las Vegas, Nevada, licensed in Nevada (9093) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, is affiliated with Centennial Hills Hospital Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1639172794

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. CLEOFEMARIE S VERGARACredential: M.D.

Location Address6900 N PECOS RDNorth Las Vegas, NV 89086-4400

Mailing AddressPo Box 360001North Las Vegas, NV 89036-8108 · (702) 636-6320 · Fax (702) 636-4020

Phone(702) 791-9000

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateMay 23, 2005

Last NPPES UpdateMarch 15, 20262 updates tracked since enumeration

NPPES CertifiedMarch 15, 2026

✔ NPI 1639172794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in NV · 9093

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 9093 (NV)

6900 N PECOS RD, North Las Vegas, NV 89086

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Other Identifiers 2

Medicaid1639172794NV

OtherP00869080NV · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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. Cleofemarie S 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 ID9133113939

PECOS Enrollment IDI20040414000057, I20250705000145

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 3

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 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.

76 services56 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.

68 services46 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.

47 services45 patients

Hospital Affiliations CMS Care Compare

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

Centennial Hills Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV

1/5 CMS rating

OwnershipProprietary

CMS Certification Number290054

Location6900 N Durango DrLas Vegas, NV 89149 · Clark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89086 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

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

58.85/100

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

Scored as part of a group practice

Quality

39.4

Improvement Activities

Cost

49.45

Referred Medical Equipment & Supplies CMS DME claims

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers17 claims17 services$42.50 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.

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