2026 NPPES data Interventional Cardiology Physician NPI 1093795627 M.D.
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VERGHESE MATHEW, M.D.

Interventional Cardiology Physician in CHICAGO, Illinois. 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
320
Medicare Part D claims · 90 beneficiaries · Interventional Cardiology Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.6K
42 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: VERGHESE MATHEW, M.D. is a Interventional Cardiology Physician ([object Object]) practicing in CHICAGO, Illinois with a Medicare Part D prescribing footprint of 320 claims across 90 beneficiaries — 11% brand-name prescribing . Industry payments of $1.6K across 42 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: VERGHESE MATHEW, M.D. filed 320 Medicare Part D claims in 2023 across CHICAGO, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

VERGHESE MATHEW, 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).

VERGHESE MATHEW, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 01/19/2006

NPI 1093795627

Primary specialty

Interventional Cardiology Physician

Niche

3,382 US NPIs in this specialty

Medicare Part D claims

320 89% vs specialty avg

2023 prescription claims

Specialty avg: 2,984

Specialty distribution in Illinois

How Interventional Cardiology Physician compares to other specialties among Illinois providers

Illinois providers

Interventional Cardiology Physician share within Illinois

1. Interventional Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Cardiology Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Interventional Cardiology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Interventional Cardiology Physician ABMS/AOA estimate

Est. board-certified rate (Interventional Cardiology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Interventional Cardiology Physician) — ABMS / AOA estimate

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).

VERGHESE MATHEW, M.D. is a Interventional Cardiology Physician provider practicing in CHICAGO, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1093795627. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

VERGHESE MATHEW, M.D. appears in the CMS NPPES registry as a Interventional Cardiology Physician provider holding M.D. credentials at 5140 N. CALIFORNIA AVE., CHICAGO, IL, 60625, with a listed phone of (773) 989-3957. NPI 1093795627 was issued on 01/19/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MATHEW 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 320 prescription claims written by this provider, covering 90 Medicare beneficiaries and totaling roughly $44K in drug spend, split 11% brand-name and 89% 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.

Interventional Cardiology Physician is a narrow specialty nationwide, with 3,382 enrolled providers across 53 states and an average of 2,984 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

5140 N. CALIFORNIA AVE.
CHICAGO, IL 60625

Provider Details

NPI 1093795627
Specialty Interventional Cardiology Physician
Credentials M.D.
Gender Male
NPI Issued 01/19/2006

Hospital and facility affiliations

Facilities where VERGHESE MATHEW, 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.

ENDEAVOR HEALTH MEDICAL GROUP
GLENVIEW, IL

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for VERGHESE MATHEW, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.6K

Largest payer

Edwards Lifesciences Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to VERGHESE MATHEW, M.D.. To verify VERGHESE MATHEW, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

VERGHESE MATHEW, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 320 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.

320
Total Claims
$44K
Total Drug Cost
90
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
834
Total Day Supply
24,832
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$38K
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.60
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Metoprolol Succinate
59
Atorvastatin Calcium
51
Amlodipine Besylate
31
Clopidogrel
Clopidogrel Bisulfate
22
Lisinopril
19
Rosuvastatin Calcium
13
Isosorbide Mononitrate Er
Isosorbide Mononitrate
12
Metoprolol Tartrate
12
Brilinta
Ticagrelor
11

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

Interventional Cardiology Physician Overview

How VERGHESE MATHEW, M.D. fits within the Interventional Cardiology Physician landscape nationally.

3,382
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
2,984
Avg Claims per Provider

VERGHESE MATHEW, M.D.'s 320 claims are below the specialty average of 2,984.

Nearby Interventional Cardiology Physician Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as MATHEW.

Compare Interventional Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is VERGHESE MATHEW, M.D.'s specialty?
VERGHESE MATHEW, M.D. specializes in Interventional Cardiology Physician and practices in CHICAGO, Illinois. Credentials: M.D..
How much does VERGHESE MATHEW, M.D. prescribe under Medicare Part D?
In 2023, VERGHESE MATHEW, M.D. wrote 320 Medicare Part D claims totaling $44K in drug costs for 90 beneficiaries.
Where is VERGHESE MATHEW, M.D. located?
VERGHESE MATHEW, M.D. is located at 5140 N. CALIFORNIA AVE., CHICAGO, IL, 60625. Phone: (773) 989-3957.
What is VERGHESE MATHEW, M.D.'s NPI number?
VERGHESE MATHEW, M.D.'s National Provider Identifier (NPI) is 1093795627, issued on 01/19/2006.
Does VERGHESE MATHEW, M.D. prescribe more brand-name or generic drugs?
VERGHESE MATHEW, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $38K in brand drug costs.
How many Interventional Cardiology Physician providers are there in the US?
There are 3,382 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 2,984 Medicare Part D claims per year.
What drugs does VERGHESE MATHEW, M.D. prescribe most often?
Based on 2023 Medicare Part D data, VERGHESE MATHEW, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VERGHESE MATHEW, M.D. accept Medicare?
VERGHESE MATHEW, M.D. appears in CMS Medicare data with 320 Part D claims and 90 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VERGHESE MATHEW, M.D.'s credentials?
VERGHESE MATHEW, M.D.'s NPI is 1093795627 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

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