VERGHESE MATHEW (M.D.) – Interventional Cardiology Physician, NPI 1093795627
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
464 INTERVENTIONAL CARDIOLOGY in IL
Provider Addresses for VERGHESE MATHEW (M.D.)
PO BOX 19639
SPRINGFIELD, IL 627949639
Phone: (217) 545-7578
Type: Mailing
5140 N. CALIFORNIA AVE.
SUITE 700- GMP
CHICAGO, IL 60625
Phone: (773) 989-3957
Type: Mailing
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 627026700
Phone: (217) 545-7578
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 72 Open Payments records for all available years, with a total value of $2,727.
Total Amount is formed as General ($2,727) + Research ($0) + Ownership ($0) = $2,727.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($1,182).
Total Amount
$2,727
General + Research + Ownership
Payments
72
Total payment records
General Amount
$2,727
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-08-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071019000602 | I | Interventional Cardiology | WI | TBD |
| I20160805001710 | I | Interventional Cardiology | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 231 | 198 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 133 | 86 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 106 | 61 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 82 | 81 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 56 | $0 |
Insurance plans in this area (ZIP 62794)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Diagnostic Radiology | IL | |
| Family Practice | IL | |
| - | IL |
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