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TISHA VARGHESE MSN FNP-C
NPI 1811399009
Nurse Practitioner - Family in Hagerstown, MD

Active since September 19, 2014PECOS EnrolledAccepts Medicare Assignment
80.25/100
CMS Quality Rating
24 NORTH WALNUT STREET, HAGERSTOWN, MD 21740(301) 745-3777 Get Directions Write a Review

NPPES record last updated: September 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tisha Varghese Msn Fnp-c NPPES

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

TISHA VARGHESE MSN FNP-C (NPI 1811399009) is an individual family provider in Hagerstown, Maryland, licensed in Maryland (R211076) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1811399009
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTISHA VARGHESECredential: MSN FNP-C
Location Address24 NORTH WALNUT STREETHagerstown, MD 21740
Mailing Address9332 Penrose StFrederick, MD 21704-7339 · (973) 349-8619
Phone(301) 745-3777
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 19, 2014
✔ NPI 1811399009 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
License✔ Licensed in MD · R211076
24 NORTH WALNUT STREET, Hagerstown, MD 21740
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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

Tisha Varghese Msn Fnp-c 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 ID6709100860
PECOS Enrollment IDI20150120000769
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 5

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.
463 services227 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
142 services95 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.
23 services20 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.
21 services21 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin 95249
Continuous monitoring of blood sugar involves a small sensor inserted under the skin. This sensor measures glucose levels in tissue fluid throughout the day and night, providing real-time readings. It aids in managing diabetes effectively.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21740 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

80.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.29
Promoting Interoperability100
Improvement Activities40
Cost54.89

Referred Medical Equipment & Supplies CMS DME claims 2

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
6 suppliers13 claims36 services$6.57 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
8 suppliers121 claims121 services$184.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tisha Varghese's NPI number?

The NPI number for Tisha Varghese is 1811399009. It was assigned to this individual provider in the NPPES registry on September 19, 2014.

Where is Tisha Varghese located?

Tisha Varghese practices at 24 North Walnut Street, Hagerstown, MD 21740. The listed phone number is (301) 745-3777.

What is Tisha Varghese's specialty?

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

Is Tisha Varghese enrolled in Medicare?

Yes. Tisha 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.

Is Tisha Varghese affiliated with any hospitals?

According to CMS data, Tisha Varghese is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Tisha Varghese was last updated on September 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.