Anita Varghese, M.D.
Infectious Disease Physician · West Reading, PA
Anita Varghese, M.D. is an infectious disease physician with a practice address in West Reading, Pennsylvania, and NPI 1194152710, issued on Sep 27, 2013. Check the license (Pennsylvania MD476259, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Anita Varghese
- Credential
- M.D.
- Primary taxonomy
- Infectious Disease Physician 207RI0200X
- License numbers
- MD476259 PA
25MA11150800 NJ
270802 NY
Self-reported in NPPES; status is on the state search - Practice location
- 301 S 7TH Ave Ste 120, West Reading, PA 19611
- Phone
- (484) 628-4630
- Enumerated
- Sep 27, 2013
- Record last updated
- Feb 9, 2022
- Medicare enrollment
- Enrolled (PECOS I20220120000801); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest infectious disease physician records → All 545 in Pennsylvania → Look up another NPI →
Also registered at 301 S 7TH Ave Ste 120
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Chinwe Anekwe, M.D.Infectious Disease Physician1023676020
- Noelle Heilman, CRNPNurse Practitioner1801456660
Verify Anita Varghese in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD476259Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
54% fewer Medicare Part D claims than the average infectious disease physician in 2024
316 Medicare Part D claims for 79 beneficiaries, against an average of 689 among the 7,388 providers of this specialty who prescribed in Part D. Brand-name drugs were 44% of claims.
Most prescribed
- Biktarvy38 claims
- Ceftriaxone31 claims
- Daptomycin27 claims
- Sodium Chloride27 claims
- Doxycycline Monohydrate15 claims
- Odefsey14 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 86.1 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $151.22
7 payments; by number, the most common kind was food and beverage; the largest payer was Gilead Sciences, Inc. The 3,895 providers of this specialty with any payment received $4,362.19 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
One hospital affiliation
- Reading HospitalWest Reading, PA · Acute Care Hospitals4 of 5 stars
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Anita Varghese among 545 infectious disease physician records in Pennsylvania
Anita Varghese, M.D. is one of 545 infectious disease physician records with a practice address in Pennsylvania. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 72% of them.
- NPI issued2013 · 72% of these records are older, 24% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated2008 · median 2005 among the 381 with a school on file
- Record last updated2022 · 67% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RI0200X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Infectious Disease Physician providers in Pennsylvania
There are 545 infectious disease physician records in Pennsylvania.
All 545 in Pennsylvania → Every provider in West Reading → Infectious Disease Physician nationwide →
The 8 infectious disease physician records with the nearest ZIP codes
- Chinwe Anekwe, M.D.West Reading, PA 196111023676020
- Edward BlanchardWest Reading, PA 196111770767055
- Kenneth Debenedictis, MDWest Reading, PA 196111073737409
- Robert Jones, D.O.West Reading, PA 196111821056854
- Eunjung Kim, M.D.West Reading, PA 196111689923427
- Kathleen McElwee, M.D.West Reading, PA 196111427204940
- Robert Pease, M.D.West Reading, PA 196111790198596
- Debra Powell, M.D.West Reading, PA 196111649483272
Common questions
What is Anita Varghese, M.D.'s NPI number?
Anita Varghese, M.D.'s National Provider Identifier (NPI) is 1194152710, issued on Sep 27, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Anita Varghese, M.D. located?
The NPPES record lists a practice address at 301 S 7TH Ave Ste 120, West Reading, PA, 19611. Phone: (484) 628-4630. Providers update this record themselves, so call before visiting.
How can I verify Anita Varghese, M.D.'s license?
NPPES lists Pennsylvania license number MD476259, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Anita Varghese, M.D. prescribe under Medicare Part D?
In 2024, Anita Varghese, M.D. had 316 Medicare Part D claims for 79 beneficiaries; the average among infectious disease physician prescribers was 689. Part D covers Medicare prescriptions only.
What is Anita Varghese, M.D.'s MIPS final score?
The 2023 MIPS final score is 86.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.