2026 NPPES data Geriatric Medicine (Internal Medicine) Physician NPI 1073895223 MD
Verify on CMS →

DONA VARGHESE, MD

Geriatric Medicine (Internal Medicine) Physician in SYRACUSE, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
865
Medicare Part D claims · 197 beneficiaries · Geriatric Medicine (Internal Medicine) Physician avg: 4K
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.6325/100
▼ 1 pts below national avg 83.1 · [object Object]

What the federal data shows

DONA VARGHESE, MD reported a CMS MIPS final score of 81.6325/100 — below the 83.1 national average — and filed 865 Medicare Part D claims in 2023.

81.6325/100
MIPS score · -1 vs avg
865
Part D claims, 2023
98%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

DONA VARGHESE, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

82 36th percentile higher than 36% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

DONA VARGHESE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about DONA VARGHESE, MD?

Near national average

NPI registry status

Active

Issued 09/14/2011

NPI 1073895223

Primary specialty

Geriatric Medicine (Internal Medicine) Physician

Niche

4,161 US NPIs in this specialty

Medicare Part D claims

865 81% vs specialty avg

2023 prescription claims

Specialty avg: 4,450

MIPS final score

81.6325/100 1.4675000000000011% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Geriatric Medicine (Internal Medicine) Physician compares to other specialties among New York providers

New York providers

Geriatric Medicine (Internal Medicine) Physician share within New York

1. Geriatric Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Geriatric Medicine (Internal Medicine) Physician share within New York

Medicare quality performance — MIPS

DONA VARGHESE, MD's 2023 MIPS final score plotted against the Geriatric Medicine (Internal Medicine) Physician national average

Near national average
MIPS Final Score
81.6325/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Geriatric Medicine (Internal Medicine) Physician) — 81.6325/100 vs national avg 83.1

0%100%National avg83%81.6%
MIPS final score (Geriatric Medicine (Internal Medicine) Physician) — 81.6325/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DONA VARGHESE, MD appears in the CMS NPPES registry as a Geriatric Medicine (Internal Medicine) Physician provider holding MD credentials at 725 E. ADAMS ST., SYRACUSE, NY, 13210, with a listed phone of (315) 464-6100. NPI 1073895223 was issued on 09/14/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VARGHESE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 865 prescription claims written by this provider, covering 197 Medicare beneficiaries and totaling roughly $38K in drug spend, split 2% brand-name and 98% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.6325/100 for the 2023 performance year (Quality 73.8681, Cost 52.7956), compared with the national average of 83.1.

Geriatric Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 4,161 enrolled providers across 52 states and an average of 4,450 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

725 E. ADAMS ST.
SYRACUSE, NY 13210

Provider Details

NPI 1073895223
Specialty Geriatric Medicine (Internal Medicine) Physician
Credentials MD
Gender Female
NPI Issued 09/14/2011

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

81.6325
Final Score
Avg: 83.1
73.8681
Quality
52.7956
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DONA VARGHESE, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN
SYRACUSE, NY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to DONA VARGHESE, MD. To verify DONA VARGHESE, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

DONA VARGHESE, MD — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 865 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

865
Total Claims
$38K
Total Drug Cost
197
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,568
Total Day Supply
46,173
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$3K
Generic Drug Cost
$34K

Patient Demographics

Average Patient Age
78.6 years
Avg HCC Risk Score
1.24
Gender Split
65% female / 35% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What DONA VARGHESE, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Donepezil Hcl
207
Sertraline Hcl
179
Memantine Hcl
118
Galantamine Er
Galantamine Hbr
84
Escitalopram Oxalate
52
Trazodone Hcl
49
Quetiapine Fumarate
32
Divalproex Sodium
31
Rivastigmine
27
Memantine Hcl Er
Memantine Hcl
18

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Geriatric Medicine (Internal Medicine) Physician Overview

How DONA VARGHESE, MD fits within the Geriatric Medicine (Internal Medicine) Physician landscape nationally.

4,161
Geriatric Medicine (Internal Medicine) Physician Providers in US
52
States with Geriatric Medicine (Internal Medicine) Physician
4,450
Avg Claims per Provider

DONA VARGHESE, MD's 865 claims are below the specialty average of 4,450.

Nearby Geriatric Medicine (Internal Medicine) Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as VARGHESE.

Compare Geriatric Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DONA VARGHESE, MD's specialty?
DONA VARGHESE, MD specializes in Geriatric Medicine (Internal Medicine) Physician and practices in SYRACUSE, New York. Credentials: MD.
How much does DONA VARGHESE, MD prescribe under Medicare Part D?
In 2023, DONA VARGHESE, MD wrote 865 Medicare Part D claims totaling $38K in drug costs for 197 beneficiaries.
What is DONA VARGHESE, MD's Medicare quality score?
DONA VARGHESE, MD has a CMS MIPS Final Score of 81.6325/100 (Quality: 73.8681, Cost: 52.7956). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DONA VARGHESE, MD located?
DONA VARGHESE, MD is located at 725 E. ADAMS ST., SYRACUSE, NY, 13210. Phone: (315) 464-6100.
What is DONA VARGHESE, MD's NPI number?
DONA VARGHESE, MD's National Provider Identifier (NPI) is 1073895223, issued on 09/14/2011.
Does DONA VARGHESE, MD prescribe more brand-name or generic drugs?
DONA VARGHESE, MD's prescribing is 2% brand-name and 98% generic drugs by claim count, with $3K in brand drug costs.
How many Geriatric Medicine (Internal Medicine) Physician providers are there in the US?
There are 4,161 Geriatric Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Internal Medicine) Physician provider writes 4,450 Medicare Part D claims per year.
What drugs does DONA VARGHESE, MD prescribe most often?
Based on 2023 Medicare Part D data, DONA VARGHESE, MD's most frequently prescribed drugs include Donepezil Hcl, Sertraline Hcl, Memantine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DONA VARGHESE, MD accept Medicare?
DONA VARGHESE, MD appears in CMS Medicare data with 865 Part D claims and 197 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DONA VARGHESE, MD's credentials?
DONA VARGHESE, MD's NPI is 1073895223 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology