Thomas Varghese, MD
NPI 1538134028 · Neurology Physician · Brookfield, WI
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Varghese, MD is a Neurology Physician provider in Brookfield, WI (NPI 1538134028).
Provider details
- NPI number
- 1538134028
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 48234 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
479 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 342 | $120 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 71 | $203 |
| Measurement of Brain Wave Activity (eeg), Awake and Drowsy95816 | 35 | $53 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 31 | $169 |
Typical Medicare-allowed amounts for these services range $53–$203 (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 · 34 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Donepezil Hcl | 493 | 164 |
| Levetiracetam | 468 | 111 |
| Gabapentin | 338 | 82 |
| Memantine Hcl | 296 | 76 |
| Carbidopa/Levodopabrand: Carbidopa-Levodopa | 248 | 63 |
| Rivastigmine Tartratebrand: Rivastigmine | 212 | 48 |
| Primidone | 168 | 45 |
| Duloxetine Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$156 across 15 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-20
- Last updated
- 2017-03-07
Frequently asked questions
- What is Thomas Varghese's NPI number?
- Thomas Varghese's National Provider Identifier (NPI) is 1538134028, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Varghese's specialty?
- Thomas Varghese is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Varghese located?
- Thomas Varghese's practice location on file with NPPES is 13950 W Capitol Drive, Brookfield, WI 53005-2441.
- What is Thomas Varghese's phone number?
- The practice phone number listed in the NPPES registry for Thomas Varghese is (414) 302-5400.
- Does Thomas Varghese accept Medicare?
- Thomas Varghese is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Varghese's NPI active?
- Yes — Thomas Varghese's NPI (1538134028) is active in the NPPES registry as of the last update on 2017-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.