AMABEL JOYCE VARGHESE MD
NPI 1962068171
Family Medicine in Edmond, OK

Active since May 13, 2019PECOS EnrolledAccepts Medicare Assignment
65.74/100
CMS Quality Rating
15112 TRADITIONS BLVD STE A, EDMOND, OK 73013(405) 289-0483(405) 266-6609 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2026, Aug 1, 2024, Oct 21, 2022 and 2 more (5 updates tracked since 2019).

About Amabel Joyce Varghese Md NPPES

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

AMABEL JOYCE VARGHESE MD (NPI 1962068171) is an individual family medicine provider in Edmond, Oklahoma, licensed in Oklahoma (34738) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1962068171
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMABEL JOYCE VARGHESECredential: MD
Location Address15112 TRADITIONS BLVD STE AEdmond, OK 73013-1182
Mailing Address15112 Traditions Blvd Ste AEdmond, OK 73013-1182 · (405) 289-0483 · Fax (405) 266-6609
Fax(405) 266-6609
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 13, 2019
Last NPPES UpdateApril 14, 20265 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1962068171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 34738
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15112 TRADITIONS BLVD STE A, Edmond, OK 73013

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amabel Joyce Varghese Md 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 ID8527435585
PECOS Enrollment IDI20221103001085
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 Amabel Varghese reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
1501 E 19TH ST
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 55 clinicians in this Medicare group
Internal Medicine
1501 E 19TH ST
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 53 clinicians in this Medicare group
Primary Care
2801 S DOUGLAS BLVD
Midwest City, OK 73130
  • Reassigned Medicare billing, Oklahoma enrollment
  • 7 clinicians in this Medicare group
Primary Care
1127 S GEORGE NIGH EXPY
Mcalester, OK 74501
  • Reassigned Medicare billing, Texas enrollment
  • 581 clinicians in this Medicare group

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

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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

65.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.52
Improvement Activities40
Cost42.43

Other Providers at the Same Location NPPES 6

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

General Practice
15112 TRADITIONS BLVD STE A
EDMOND, OK 73013
Clinic/Center (Urgent Care)
15112 TRADITIONS BLVD STE A
EDMOND, OK 73013
Internal Medicine
15112 TRADITIONS BLVD STE A
EDMOND, OK 73013
Nurse Practitioner (Family)
15112 TRADITIONS BLVD STE A
EDMOND, OK 73013
Physician Assistant
15112 TRADITIONS BLVD STE A
EDMOND, OK 73013
Nurse Practitioner (Family)
15112 TRADITIONS BLVD STE A
EDMOND, OK 73013

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 Amabel Varghese's NPI number?

The NPI number for Amabel Varghese is 1962068171. It was assigned to this individual provider in the NPPES registry on May 13, 2019.

Where is Amabel Varghese located?

Amabel Varghese practices at 15112 Traditions Blvd Ste A, Edmond, OK 73013. The listed phone number is (405) 289-0483.

What is Amabel Varghese's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amabel Varghese enrolled in Medicare?

Yes. Amabel 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.

Which organizations bill Medicare for Amabel Varghese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amabel Varghese reassigns Medicare benefits to 4 organizations: Optimum Post Acute Care PLLC (Edmond, OK), Optimum Primary Care PLLC (Edmond, OK), Deng Family Medicine Center, PC (Midwest City, OK) and Choctaw Nation Of Oklahoma (Mcalester, OK). 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 Amabel Varghese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amabel Varghese accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Amabel 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.

When was this NPI record last updated?

The NPPES record for Amabel Varghese was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.