DR. JESUS ROBERTO VERGARA (M.D.) – Internal Medicine Physician, NPI 1699752642
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,967 INTERNAL MEDICINE in PA
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Provider Addresses for DR. JESUS ROBERTO VERGARA (M.D.)
Lafayette Road, Sparta, Sussex County, New Jersey, 07871, United States
SUITE 300
SPARTA, NJ 078714411
Phone: (973) 940-0423
Fax: (973) 940-0399
Type: Mailing
East Catherine Street, Milford, Kosciusko County, Indiana, 46542, United States
SUITE 110
MILFORD, PA 183371347
Phone: (570) 296-4600
Fax: (570) 409-1965
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $315.
Total Amount is formed as General ($315) + Research ($0) + Ownership ($0) = $315.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Dexcom, Inc. ($84).
Total Amount
$315
General + Research + Ownership
Payments
17
Total payment records
General Amount
$315
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $84 |
| Abbott Laboratories | $77 |
| Novo Nordisk Inc | $64 |
| Exact Sciences Corporation | $51 |
| Amgen Inc. | $39 |
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: 2010-02-15
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 |
|---|---|---|---|---|
| I20100215000517 | I | Internal Medicine | PA | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 1,320 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,236 | 683 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 638 | 428 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 517 | 517 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 511 | 511 | $0 |
Insurance plans in this area (ZIP 07871)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | PA | 90670 | Pneumococcal vaccine for injection into muscle | 103 | 103 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MA | |
| Nurse Practitioner | NJ | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | NJ | |
| Internal Medicine | NJ | |
| - | NJ | |
| E N D O C R I N O L O G Y | MO | |
| Pain Management, Anesthesiology | PA | |
| Internal Medicine | NJ | |
| Orthopedic Surgery | NJ | |
| Family Practice | PA |
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