EVLIN JOSEPH VARGHESE NP
NPI 1669991964
Nurse Practitioner - Adult Health in Mckinney, TX

Q: What is Evlin Varghese's NPI number?

The NPI number for Evlin Varghese is 1669991964. It was assigned to this individual provider in the NPPES registry on September 18, 2017.

Q: What is Evlin Varghese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Evlin Varghese was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 18, 2017PECOS EnrolledAccepts Medicare Assignment

71.17/100

CMS Quality Rating

8080 STATE HIGHWAY 121 STE 200, MCKINNEY, TX 75070(866) 552-4866 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2024, Mar 7, 2024, Sep 18, 2017 (3 updates tracked since 2017).

On this page

About Evlin Joseph Varghese Np NPPES

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

EVLIN JOSEPH VARGHESE NP (NPI 1669991964) is an individual adult health provider in Mckinney, Texas, licensed in Texas (1028318) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott And White Surgical Hospital At Sherma, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669991964

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameEVLIN JOSEPH VARGHESECredential: NP

Location Address8080 STATE HIGHWAY 121 STE 200Mckinney, TX 75070-2902

Mailing Address8135 Forest Ln # 515057Dallas, TX 75230-2472

Phone(866) 552-4866

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 18, 2017

Last NPPES UpdateJuly 24, 20243 updates tracked since enumeration

NPPES CertifiedJuly 24, 2024

✔ NPI 1669991964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in TX · 1028318

8080 STATE HIGHWAY 121 STE 200, Mckinney, TX 75070

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1300 N Highland Ave Ste 365Sherman, TX 75092-7393 · Phone (866) 552-4866

Location 24616 US Hwy 75 Ste 170Denison, TX 75020-4582 · Phone (866) 552-4866

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Evlin Joseph Varghese Np 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 ID1951667823

PECOS Enrollment IDI20220725000523

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.

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.

184 services148 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

154 services154 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.

121 services95 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott And White Surgical Hospital At Sherma

Acute Care Hospitals · Sherman, TX

2/5 CMS rating

OwnershipPhysician

CMS Certification Number670076

Location3601 Calais DriveSherman, TX 75090 · Grayson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75070 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

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

71.17/100

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

Scored as part of a group practice

Quality

63.94

Promoting Interoperability

Improvement Activities

Cost

48.29

Other Providers at the Same Location NPPES 3

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

INTERVENTIONAL PARTNERS LLC

Radiology (Vascular & Interventional Radiology)

8080 STATE HIGHWAY 121 STE 200
MCKINNEY, TX 75070

Collin County (214) 382-3200

OSAMA ABDUL-RAHIM M.D.

Radiology (Vascular & Interventional Radiology)

8080 STATE HIGHWAY 121 STE 200
MCKINNEY, TX 75070

Collin County (866) 885-4866

KRISTEN ALEXANDRA GOMEZ MSN, FNP-C

Nurse Practitioner (Family)

8080 STATE HIGHWAY 121 STE 200
MCKINNEY, TX 75070

Collin County (469) 839-3144

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 Evlin Varghese's NPI number?

The NPI number for Evlin Varghese is 1669991964. It was assigned to this individual provider in the NPPES registry on September 18, 2017.

Where is Evlin Varghese located?

Evlin Varghese practices at 8080 State Highway 121 Ste 200, Mckinney, TX 75070. The listed phone number is (866) 552-4866.

What is Evlin Varghese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Evlin Varghese enrolled in Medicare?

Yes. Evlin 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 Evlin Varghese accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Evlin 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 Evlin Varghese affiliated with any hospitals?

According to CMS data, Evlin Varghese is affiliated with Baylor Scott And White Surgical Hospital At Sherma.

When was this NPI record last updated?

The NPPES record for Evlin Varghese was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.