Shane Samuel Varghese, M.D.
Hospitalist Physician · Rochester, NY
Shane Samuel Varghese, M.D. is a hospitalist physician with a practice address in Rochester, New York, and NPI 1851747372, issued on May 13, 2016. Check the license (New York 301310, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Shane Samuel Varghese
- Credential
- M.D.
- Primary taxonomy
- Hospitalist Physician 208M00000X
- License number
- 301310 NY
Self-reported in NPPES; status is on the state search - Practice location
- 1425 Portland Ave, Rochester, NY 14621
- Phone
- (585) 922-5067
- Enumerated
- May 13, 2016
- Record last updated
- Jan 17, 2024
- Medicare enrollment
- Enrolled (PECOS I20191031002322); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest hospitalist physician records → All 2,067 in New York → Look up another NPI →
Also registered at 1425 Portland Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Shane Samuel Varghese in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 301310Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
61% fewer Medicare Part D claims than the average hospitalist physician in 2024
202 Medicare Part D claims for 74 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D.
Most prescribed
- Metoprolol Succinate16 claims
- Atorvastatin Calcium13 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): 81.4 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).
2 hospitals and group practices
- Rochester General HospitalRochester, NY · Acute Care Hospitals2 of 5 stars
- The Unity Hospital OF RochesterRochester, NY
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.
Shane Samuel Varghese among 2,067 hospitalist physician records in New York
Shane Samuel Varghese, M.D. is one of 2,067 hospitalist physician records with a practice address in New York. 93% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 53% of them.
- NPI issued2016 · 53% of these records are older, 42% newer
- In a Medicare fileYes · 93% of these records are
- In the CMS Doctors and Clinicians fileYes · 83% of these records are
- Graduated2015 · median 2013 among the 1,716 with a school on file
- Record last updated2024 · 37% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
265 hospitalist physician records list a practice address in Rochester
They are 265 of the 20,520 NPPES records with a practice address in Rochester, and 2,067 hospitalist physician records in New York.
All 2,067 in New York → Every provider in Rochester → Hospitalist Physician nationwide →
The 8 hospitalist physician records with the nearest ZIP codes
- Rutvic Amin, MDRochester, NY 146211104884741
- Kalyana Kanaparthy, M.DRochester, NY 146211255498325
- Christina Kosta Cashimere, MDRochester, NY 146211427003268
- Amar Munsiff, M.D.Rochester, NY 146211629024104
- Walter Polashenski, M.D.Rochester, NY 146211295754794
- Carl Reynolds, MDRochester, NY 146211548214646
- Suzan Saber, MDRochester, NY 146211710078845
- Arshad Sami, M.D.Rochester, NY 146211679502199
Common questions
What is Shane Samuel Varghese, M.D.'s NPI number?
Shane Samuel Varghese, M.D.'s National Provider Identifier (NPI) is 1851747372, issued on May 13, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Shane Samuel Varghese, M.D. located?
The NPPES record lists a practice address at 1425 Portland Ave, Rochester, NY, 14621. Phone: (585) 922-5067. Providers update this record themselves, so call before visiting.
How can I verify Shane Samuel Varghese, M.D.'s license?
NPPES lists New York license number 301310, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Shane Samuel Varghese, M.D. prescribe under Medicare Part D?
In 2024, Shane Samuel Varghese, M.D. had 202 Medicare Part D claims for 74 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.
What is Shane Samuel Varghese, M.D.'s MIPS final score?
The 2023 MIPS final score is 81.4 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.