DR. GEORGE M. VERGHESE (M.D.) – Pulmonary Disease Physician, NPI 1235176371
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
478 PULMONARY DISEASE in VA
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Provider Addresses for DR. GEORGE M. VERGHESE (M.D.)
Charlottesville Post Office, 1155, Seminole Trail, Westfield, Charlottesville, Albemarle County, Virginia, 22906, United States
CHARLOTTESVILLE, VA 229069007
Phone:
Type: Mailing
5, Hospital Drive, Venable, Carr's Hill, University of Virginia, Albemarle County, Virginia, 22903, United States
CHARLOTTESVILLE, VA 229080001
Phone: (434) 924-5219
Fax: (434) 924-9682
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $475.
Total Amount is formed as General ($475) + Research ($0) + Ownership ($0) = $475.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($245).
Total Amount
$475
General + Research + Ownership
Payments
25
Total payment records
General Amount
$475
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $245 |
| AstraZeneca Pharmaceuticals LP | $113 |
| Regeneron Healthcare Solutions, Inc. | $98 |
| LivaNova USA, Inc. | $19 |
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: 2006-04-04
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 |
|---|---|---|---|---|
| I20060404000407 | I | Pulmonary Disease | VA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 408 | 243 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 242 | 199 | $0 |
| 99291 | Critical care, first 30-74 minutes | 165 | 71 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 94 | 58 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 75 | 75 | $0 |
Insurance plans in this area (ZIP 22906)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | VA | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 130 | 130 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | VA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | VA | |
| Nurse Practitioner | VA | |
| Family Practice | VA | |
| Endocrinology, Internal Medicine | VA | |
| Gastroenterology, Internal Medicine | VA | |
| H O S P I T A L I S T | NC | |
| Physician Assistant | VA | |
| - | VA | |
| A N E S T H E S I O L O G Y | NE |
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