✓ Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) (207P00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

BETTY RACHEL VARGHESE, M.D. (NPI #1073715702)

Emergency Medicine • O FALLON, MO • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1073715702
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207P00000X (CMS 93)
Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)
Box 32 Service Location & ZIP+4
2 PROGRESS POINT CT, O FALLON, MO, 63368-2208
✓ 9-Digit EDI 837 ZIP+4 (63368-2208)
Practice Phone & Referral Fax
Fax: (636) 344-1176
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1073715702 (BETTY RACHEL VARGHESE, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1073715702)

Medicare Beneficiaries
197
Total Billed Services
228
Distinct CPT/HCPCS Codes
19
Medicare Allowed Total
$32,379.05

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more13
99284 Emergency department visit with moderate level of medical decision making41
99285 Emergency department visit with high level of medical decision making92
99291 Critical care, first 30-74 minutes42

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Azithromycin
Azithromycin
1212
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
2221
Levofloxacin
Levofloxacin
1616
Ondansetron Odt
Ondansetron
1818
Prednisone
Prednisone
1313

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1073715702 (NPI-1 Individual Practitioner)
Provider / Legal NameBETTY RACHEL VARGHESE, M.D.
Plain-English SpecialtyBoard-Certified Emergency Medicine Physician (ER / Trauma Doctor)
NUCC Code: 207P00000X (Emergency Medicine)
Certifying / Licensing BodyAmerican Board of Emergency Medicine (ABEM)
Practice Location Address2 PROGRESS POINT CT, O FALLON, MO, 63368-2208
Practice Telephone / FaxTel: (636) 344-1151 | Fax: (636) 344-1176
Administrative Mailing Address2 PROGRESS POINT CT, O FALLON, MO, 63368-2208
Enumeration & Last SyncEnumerated: 2007-06-04 | CMS Record Updated: 2024-12-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2 PROGRESS POINT CT, O FALLON, MO, 63368-2208

🗺️ Open in Google Maps 🏥 More Providers in O FALLON

Plain-English Taxonomy & CMS Crosswalk (207P00000X)

What Does Taxonomy Code 207P00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207P00000X translates to:
"Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 93 (Physician/Emergency Medicine)
Certifying / Accrediting Authority: American Board of Emergency Medicine (ABEM)
Clinical Scope: Immediate life-or-limb emergencies, severe chest pain, stroke symptoms, deep contaminated wounds needing tetanus prophylaxis, or severe dehydration.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BETTY RACHEL VARGHESE, M.D.)

Typical CPT / Diagnostic Procedures:
  • Level 4 & Level 5 Emergency Department Resuscitation (CPT 99284–99285)
  • Point-of-Care Emergency Ultrasound (eFAST), Intubation & Central Line Placement
  • Acute Laceration Repair, Tetanus Prophylaxis & Fracture Splinting
Common Therapeutic Classes:
  • Epinephrine Auto-Injectors / IV Infusions, Atropine & Amiodarone
  • Tetanus Toxoid / Tdap & Tetanus Immunoglobulin (TIG)
  • Empiric Sepsis Antibiotics, Parenteral Ketorolac & Ondansetron

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207Q00000X — Family Medicine
Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
State: MO | License: 2005021815 | Primary: Secondary
207P00000X — Emergency Medicine
Plain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)
State: MO | License: 2005021815 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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