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ALBERT VICTORIO VARGAS M.D.
NPI 1861466864
Surgery in Sandusky, OH

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
86.09/100
CMS Quality Rating
703 TYLER ST, SUITE 150, SANDUSKY, OH 44870(419) 625-8722 Get Directions Write a Review

NPPES record last updated: June 29, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Albert Victorio Vargas M.d. NPPES

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

ALBERT VICTORIO VARGAS M.D. (NPI 1861466864) is an individual surgery provider in Sandusky, Ohio, licensed in Ohio (35.078979) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Ohio State University College Of Medicine (1990).

NPPES Registry Identity

NPI1861466864
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameALBERT VICTORIO VARGASCredential: M.D.
Location Address703 TYLER ST, SUITE 150Sandusky, OH 44870-3367
Mailing AddressP.o. Box 378Sandusky, OH 44871-0378 · (419) 609-1112
Phone(419) 625-8722
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1990
Enumeration DateFebruary 15, 2006
Last NPPES UpdateJune 29, 2017
✔ NPI 1861466864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35.078979
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
703 TYLER ST, Sandusky, OH 44870
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Other Identifiers 2

Medicare ID-Type UnspecifiedG56823OH
Medicaid2237743OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Albert Victorio Vargas 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 ID7315071594
PECOS Enrollment IDI20100811000019
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 12

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.
100 services61 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.
92 services28 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.
74 services74 patients
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.
51 services51 patients
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.
44 services20 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360025
Location1111 Hayes AvenueSandusky, OH 44870 · Erie County
Emergency services Birthing friendly

Magruder Hospital

Critical Access Hospitals · Port Clinton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361314
Location615 Fulton StPort Clinton, OH 43452 · Ottawa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

86.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.42
Promoting Interoperability99
Improvement Activities40
Cost80.04

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.

Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
1 supplier11 claims11 services$964.91 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.

NORTH COAST SURGICAL ASSOCIATES, INC.
Surgery
703 TYLER ST, SUITE 150
SANDUSKY, OH 44870
Erie County (419) 625-8722
DR. WILLIAM SCOTT SHELDON D.O.
Internal Medicine (Interventional Cardiology)
703 TYLER ST, SUITE 250
SANDUSKY, OH 44870
Erie County (440) 414-9300
BAY AREA RADIOLOGISTS, INC.
Specialist
703 TYLER ST, SUITE 102
SANDUSKY, OH 44870
Erie County (419) 625-7061
ERIE NEUROSURGERY & ASSOC, INC
Neurological Surgery
703 TYLER ST, SUITE 350
SANDUSKY, OH 44870
Erie County (419) 626-7070
DAVID H KIM DO LLC
Surgery (Vascular Surgery)
703 TYLER ST, SUITE 351
SANDUSKY, OH 44870
Erie County (419) 621-7620
DR. MICHAEL J LYSTER IV D.O.
Internal Medicine (Cardiovascular Disease)
703 TYLER ST, SUITE 250
SANDUSKY, OH 44870
Erie County (440) 414-9300
SHERI KERSHAW NP-C
Nurse Practitioner (Family)
703 TYLER ST
SANDUSKY, OH 44870
Erie County (419) 557-6825
DR. HASSAN MOHAMMAD IBRAHIM M.D.
Internal Medicine (Cardiovascular Disease)
703 TYLER ST, SUITE 250
SANDUSKY, OH 44870
Erie County (440) 414-9300

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 Albert Vargas's NPI number?

The NPI number for Albert Vargas is 1861466864. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Albert Vargas located?

Albert Vargas practices at 703 Tyler St Suite 150, Sandusky, OH 44870. The listed phone number is (419) 625-8722.

What is Albert Vargas's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Albert Vargas enrolled in Medicare?

Yes. Albert Vargas 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 Albert Vargas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Albert Vargas 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 Albert Vargas affiliated with any hospitals?

According to CMS data, Albert Vargas is affiliated with Firelands Regional Medical Center and Magruder Hospital.

When was this NPI record last updated?

The NPPES record for Albert Vargas was last updated on June 29, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.