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DR. JESSIE VARGHESE MD
NPI 1831149731
Family Medicine - Adult Medicine in Huntington Station, NY

Active since May 11, 2006PECOS Enrolled
91.25/100
CMS Quality Rating
1572 NEW YORK AVE, HUNTINGTON STATION, NY 11746(631) 425-5250 Get Directions Write a Review

NPPES record last updated: May 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2025, Mar 26, 2025 (2 updates tracked since 2025).

About Dr. Jessie Varghese Md NPPES

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

DR. JESSIE VARGHESE MD (NPI 1831149731) is an individual adult medicine provider in Huntington Station, New York, licensed in New York (231327) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1831149731
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameDR. JESSIE VARGHESECredential: MD
Location Address1572 NEW YORK AVEHuntington Station, NY 11746-2418
Mailing Address300 Lucille AveElmont, NY 11003-3414 · (917) 651-6022
Phone(631) 425-5250
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 11, 2006
Last NPPES UpdateMay 17, 20252 updates tracked since enumeration
NPPES CertifiedMay 17, 2025
✔ NPI 1831149731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in NY · 231327
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedInternal MedicineTaxonomy 207R00000X · License 042047 (CT)
1572 NEW YORK AVE, Huntington Station, NY 11746
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Other Names 1

Former Name (1)Dr. Jessie V Phillips

Other Identifiers 1

Other010042047CT02CT · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessie Varghese Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092728436
PECOS Enrollment IDI20070815000099
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jessie Varghese reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Huntington Hospital Dolan Family Health Center
1.6 mi
Health Service
284 PULASKI RD
Greenlawn, NY 11740
  • Reassigned Medicare billing, New York enrollment
  • 67 clinicians in this Medicare group
NPI 1578593588 (631) 425-5250
Huntington Hospital Association
2.5 mi
Physician Assistant
270 PARK AVE
Huntington, NY 11743
  • Reassigned Medicare billing, New York enrollment
  • 116 clinicians in this Medicare group
NPI 1386619385 (631) 547-6392
Southwest Suffolk Medical, P.C.
9.9 mi
Surgical Oncology
48 ROUTE 25A
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Southwest Suffolk Medical PC
  • 348 clinicians in this Medicare group
NPI 1104096049 (631) 862-3000
North Shore-Lij Medical PC
16 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
158 services157 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
111 services110 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
48 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11746 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. KATIUSCA A ACOSTA MD
Pediatrics
1572 NEW YORK AVE
HUNTINGTON STATION, NY 11746
Suffolk County (631) 425-5250

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 Jessie Varghese's NPI number?

The NPI number for Jessie Varghese is 1831149731. It was assigned to this individual provider in the NPPES registry on May 11, 2006. The provider is also known as Dr. Jessie V Phillips.

Where is Jessie Varghese located?

Jessie Varghese practices at 1572 New York Ave, Huntington Station, NY 11746. The listed phone number is (631) 425-5250.

What is Jessie Varghese's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Jessie Varghese enrolled in Medicare?

Yes. Jessie Varghese is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessie Varghese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessie Varghese reassigns Medicare benefits to 4 organizations: Huntington Hospital Dolan Family Health Center (Greenlawn, NY), Huntington Hospital Association (Huntington, NY), Southwest Suffolk Medical, P.C. (Smithtown, NY) and North Shore-Lij Medical PC (Great Neck, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessie Varghese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessie Varghese was last updated on May 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.