DR. GETULIO VARGAS TOVAR (M.D.) – Psychiatry Physician, NPI 1053374082
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
398 PSYCHIATRY in KY
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Provider Addresses for DR. GETULIO VARGAS TOVAR (M.D.)
3175, Custer Drive, Lexington, Fayette County, Kentucky, 40517, United States
SUITE #200
LEXINGTON, KY 405174023
Phone: (859) 273-1288
Fax: (859) 273-1278
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $354.
Total Amount is formed as General ($354) + Research ($0) + Ownership ($0) = $354.
Last reported payment date: 2024-08-13 • Largest payer in this snapshot: ABBVIE INC. ($112).
Total Amount
$354
General + Research + Ownership
Payments
4
Total payment records
General Amount
$354
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $112 |
| Axsome Therapeutics, Inc. | $105 |
| Otsuka America Pharmaceutical, Inc. | $78 |
| Janssen Pharmaceuticals, Inc | $59 |
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: 2014-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (951 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20141022000776 | I | Psychiatry | KY | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 447 | 127 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 33 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 48 | 11 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 18 | 15 | $0 |
Insurance plans in this area (ZIP 40517)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | KY | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 65 | 57 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | MI | |
| Nurse Practitioner | OH | |
| - | OH | |
| - | IN | |
| - | KS | |
| Clinical Social Worker | FL | |
| P S Y C H I A T R Y | OH | |
| Mental Health Counselor | OH | |
| Mental Health Counselor | OH | |
| - | OH |
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