NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1619187846 M.D.
Verify on CMS → Lesly Varghese, M.D.
Family Medicine Physician in Houston, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
163
Medicare Part D claims · 64 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Lesly Varghese, M.D. filed 163 Medicare Part D claims in 2023 as a Family Medicine Physician in Houston, Texas, prescribing 88% generic.
- 163
- Part D claims, 2023
- 88%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥35th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Lesly Varghese, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1619187846), first enumerated 05/23/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 163 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Lesly Varghese, M.D.'s individual license status. Verify directly with the state medical board.
Source: TMB annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1619187846 · Family Medicine Physician
NPI-10 · ENUM-MID · TAX-MEGA · RX-LIGHT · BOOK-MID · PHOTO-ENUM
- NPI-10 1619187846
- ENUM-MID 2007
- TAX-MEGA 148K Family Medicine
- RX-LIGHT 163
- BOOK-MID 10,448 in Texas
- PHOTO-ENUM Garrett Meyers · 2007
Lesly Varghese, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
163 ≥ 35th percentile 35% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Lesly Varghese, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Lesly Varghese, M.D.?
Quality data not reportedPrimary specialty
Family Medicine Physician
Medicare Part D claims
163 95% vs specialty avg
Specialty distribution in Texas
How Family Medicine Physician compares to other specialties among Texas providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Medicine Physician. Verify directly:
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1619187846 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 05/23/2007 |
Hospital and facility affiliations
Facilities where Lesly Varghese, M.D. 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.
The Harris Center For Mental Health And Idd
Houston, TX
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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Lesly Varghese, M.D.. To verify Lesly Varghese, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Lesly Varghese, M.D. - brand share 12.0%
Family Medicine Physician average
12% brand-name claims vs 88% generic, on 163 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.
163
Total Claims
$12K
Total Drug Cost
64
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 192
- Total Day Supply
- 4,283
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $10K
- Generic Drug Cost
- $2K
- Antibiotic Claims
- 40
Patient Demographics
- Average Patient Age
- 69.6 years
- Avg HCC Risk Score
- 3.27
- Gender Split
- 53% female / 47% male
Family Medicine Physician Overview
How Lesly Varghese, M.D. fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Lesly Varghese, M.D.'s 163 claims are below the specialty average of 3,418.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Varghese, both outside Texas so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Varghese.
One of 10,448 Family Medicine Physician providers enrolled in Texas, 5 are shown here.
Dr. Srinivasa Aaluri
MD
El Paso, TX
Dr. Maira Aamir
MD
Shenandoah, TX
Dr. Fakhrudin Aaseemah Mohamed
M.D
Allen, TX
Dr. So Abad
MD
Wichita Falls, TX
Yoseph Abadi
Richardson, TX
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Lesly Varghese, M.D.'s specialty? ▼
Lesly Varghese, M.D. specializes in Family Medicine Physician and practices in Houston, Texas. Credentials: M.D..
How much does Lesly Varghese, M.D. prescribe under Medicare Part D? ▼
In 2023, Lesly Varghese, M.D. wrote 163 Medicare Part D claims totaling $12K in drug costs for 64 beneficiaries.
Where is Lesly Varghese, M.D. located? ▼
Lesly Varghese, M.D. is located at 9401 SOUTHWEST FWY, Houston, TX, 77074. Phone: (713) 970-7000.
What is Lesly Varghese, M.D.'s NPI number? ▼
Lesly Varghese, M.D.'s National Provider Identifier (NPI) is 1619187846, issued on 05/23/2007.
Does Lesly Varghese, M.D. prescribe more brand-name or generic drugs? ▼
Lesly Varghese, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $10K in brand drug costs.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
Does Lesly Varghese, M.D. accept Medicare? ▼
Lesly Varghese, M.D. appears in CMS Medicare data with 163 Part D claims and 64 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Lesly Varghese, M.D.'s credentials? ▼
Lesly Varghese, M.D.'s NPI is 1619187846 with credentials M.D.. 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
View source datasets and methodology notes
- 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.
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.