DR. NAYSHA M VARGHESE (M.D.) – Family Medicine Physician, NPI 1821080359
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
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Provider Addresses for DR. NAYSHA M VARGHESE (M.D.)
43455, Schoenherr Road, Sterling Heights, Macomb County, Michigan, 48313, United States
STE 2
STERLING HTS, MI 483131972
Phone: (586) 726-4823
Fax: (586) 726-8365
Type: Mailing
6620, Highland Road, Waterford Township, Oakland County, Michigan, 48386, United States
SUITE 101
WATERFORD, MI 48327
Phone: (248) 666-9332
Fax: (248) 666-0340
Type: Location
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 $365.
Total Amount is formed as General ($365) + Research ($0) + Ownership ($0) = $365.
Last reported payment date: 2024-02-26 • Largest payer in this snapshot: Lilly USA, LLC ($139).
Total Amount
$365
General + Research + Ownership
Payments
4
Total payment records
General Amount
$365
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $139 |
| Novo Nordisk Inc | $125 |
| Lucid Diagnostics Inc. | $101 |
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: 2005-08-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20050818000182 | I | Family Practice | MI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 241 | 150 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 99 | 72 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 92 | 68 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 82 | 65 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 56 | $0 |
Insurance plans in this area (ZIP 48313)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MI | 81002 | Urinalysis, manual test | 24 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | MI | |
| Family Practice | MI | |
| Cardiovascular Disease (Cardiology) | MI | |
| Physician Assistant | MI | |
| General Practice | MI | |
| Cardiovascular Disease (Cardiology) | MI | |
| Internal Medicine | MI | |
| - | MI |
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