Praveen Varghese, PA-C
NPI 1396122040 · Physician Assistant · Houston, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Praveen Varghese, PA-C is a Physician Assistant provider in Houston, TX (NPI 1396122040).
Provider details
- NPI number
- 1396122040
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA09768 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
190 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 68 | $97 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 58 | $100 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 49 | $143 |
| Initial Hospital Care With Same-Day Admission and Discharge With High Level of Medical Decision Making, Per Day, If Using Time, at Least 85 Minutes99236 | 15 | $176 |
Typical Medicare-allowed amounts for these services range $97–$176 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoclopramide Hcl | 13 | 13 |
| Levofloxacin | 12 | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-05-01
- Last updated
- 2022-02-15
- Certified
- 2022-02-15
Frequently asked questions
- What is Praveen Varghese's NPI number?
- Praveen Varghese's National Provider Identifier (NPI) is 1396122040, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Praveen Varghese's specialty?
- Praveen Varghese is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Praveen Varghese located?
- Praveen Varghese's practice location on file with NPPES is 1515 Holcombe Blvd, Houston, TX 77030-4000.
- What is Praveen Varghese's phone number?
- The practice phone number listed in the NPPES registry for Praveen Varghese is (713) 792-6161.
- Does Praveen Varghese accept Medicare?
- Praveen Varghese is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Praveen Varghese's NPI active?
- Yes — Praveen Varghese's NPI (1396122040) is active in the NPPES registry as of the last update on 2022-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.