SISSY CHACKO VARGHESE NP
NPI 1689940140
Nurse Practitioner - Family in Plano, TX

Active since March 29, 2012PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
3242 PRESTON RD STE 200, PLANO, TX 75093(972) 867-0019(972) 867-7785 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2021, Jul 21, 2021, Apr 26, 2019 and 1 more (4 updates tracked since 2016).

About Sissy Chacko Varghese Np NPPES

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

SISSY CHACKO VARGHESE NP (NPI 1689940140) is an individual family provider in Plano, Texas, licensed in Texas (AP127288) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1689940140
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSISSY CHACKO VARGHESECredential: NP
Location Address3242 PRESTON RD STE 200Plano, TX 75093-3328
Mailing Address7610 N Stemmons Fwy Ste 600Dallas, TX 75247-4228 · (214) 689-5960 · Fax (469) 713-8084
Fax(972) 867-7785
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 29, 2012
Last NPPES UpdateDecember 28, 20214 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
NPI 1689940140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in TX · AP127288 Licensed in NY · 337023
3242 PRESTON RD STE 200, Plano, TX 75093

Other Names 1

Former Name (1)Sissy Chacko

Accepted 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

Sissy Chacko 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 ID4082848353
PECOS Enrollment IDI20150605000930
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 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.
136 services105 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.
47 services46 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.
17 services17 patients
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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Gastroenterology)
3242 PRESTON RD STE 200
PLANO, TX 75093
Physician Assistant
3242 PRESTON RD STE 200
PLANO, TX 75093
Internal Medicine (Gastroenterology)
3242 PRESTON RD STE 200
PLANO, TX 75093
Physician Assistant
3242 PRESTON RD STE 200
PLANO, TX 75093
Internal Medicine (Gastroenterology)
3242 PRESTON RD STE 200
PLANO, TX 75093
Internal Medicine (Gastroenterology)
3242 PRESTON RD STE 200
PLANO, TX 75093
Internal Medicine (Gastroenterology)
3242 PRESTON RD STE 200
PLANO, TX 75093
Physician Assistant
3242 PRESTON RD STE 200
PLANO, TX 75093

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 Sissy Varghese's NPI number?

The NPI number for Sissy Varghese is 1689940140. It was assigned to this individual provider in the NPPES registry on March 29, 2012. The provider is also known as Sissy Chacko.

Where is Sissy Varghese located?

Sissy Varghese practices at 3242 Preston Rd Ste 200, Plano, TX 75093. The listed phone number is (972) 867-0019.

What is Sissy Varghese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sissy Varghese enrolled in Medicare?

Yes. Sissy 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 Sissy Varghese accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Sissy 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 Sissy Varghese affiliated with any hospitals?

According to CMS data, Sissy Varghese is affiliated with Medical City Plano.

When was this NPI record last updated?

The NPPES record for Sissy Varghese was last updated on December 28, 2021. 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.