Active NPI 1639623085 Individual Practitioner Female Practitioner

Monica Vargas

Nurse Practitioner • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Monica Vargas is a certified Nurse Practitioner practicing in Worcester, MA. With approximately 10 years of clinical experience since completing medical education in 2016, Monica Vargas delivers high-quality medical care to the local community at 281 LINCOLN ST.

Monica Vargas is affiliated with Dermatology Professionals Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

281 Lincoln St

Worcester, MA 016052138

Telephone 5083345979

Fax 5083346466

Associated Practice Facility / Clinic

🏢 A Jerome Philbin M.d., P.c. Facility NPI 1659319143

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Worcester, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -0.9 yrs vs City Avg

City Avg: 10.9 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

506 Specialists

Practicing in Worcester, MA (3545 Statewide)

Telehealth Adoption Rate

17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vargas (10 Years) 10 Yrs

Worcester Specialty Average (10.9 Years) 10.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	428	93	$20.00	$5.81
99213 Established patient office or other outpatient visit, typically 15 minutes	260	221	$240.00	$77.73
17000 Destruction of skin growth	174	143	$135.00	$51.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	121	$340.00	$110.33
11102 Tangential biopsy of single skin lesion	98	86	$275.00	$85.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$290.00	$94.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$435.00	$143.38
17110 Destruction of up to 14 skin growths	47	39	$354.85	$97.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	31	$125.00	$48.86
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$190.00	$62.23
11103 Biopsy of related skin growth, each additional growth	16	13	$140.00	$43.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	233	47	$20.00	$5.98
99213 Established patient office or other outpatient visit, typically 15 minutes	85	78	$240.00	$78.49
17000 Destruction of skin growth	81	63	$135.00	$45.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$290.00	$96.09
11102 Tangential biopsy of single skin lesion	69	60	$275.00	$84.83
17110 Destruction of up to 14 skin growths	42	37	$230.00	$101.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	31	$340.00	$110.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	30	$125.00	$49.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$435.00	$144.35
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$190.00	$61.45
11103 Biopsy of related skin growth, each additional growth	18	15	$140.00	$44.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	67	67	$244.00	$65.83
17003 Destruction of precancer skin growth, 2-14 growths	57	21	$59.00	$2.60
17000 Destruction of skin growth	37	37	$264.00	$48.92
11102 Tangential biopsy of single skin lesion	23	23	$462.00	$50.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	262	79	$59.00	$4.02
99213 Established patient office or other outpatient visit, typically 15 minutes	188	180	$241.13	$70.22
17000 Destruction of skin growth	122	112	$261.54	$45.71
11102 Tangential biopsy of single skin lesion	100	95	$462.00	$51.18
17110 Destruction of up to 14 skin growths	62	60	$373.50	$79.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	48	$345.77	$99.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	48	$144.76	$40.22
11103 Biopsy of related skin growth, each additional growth	34	28	$249.00	$30.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$358.13	$88.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	426	104	$59.00	$3.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	305	265	$316.00	$79.04
17000 Destruction of skin growth	176	155	$249.00	$42.14
11102 Tangential biopsy of single skin lesion	164	151	$462.00	$44.58
17110 Destruction of up to 14 skin growths	127	117	$346.00	$79.53
11103 Biopsy of related skin growth, each additional growth	77	55	$249.00	$29.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	63	$143.00	$30.81
99213 Established patient office or other outpatient visit, typically 15 minutes	69	65	$214.00	$55.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$349.00	$84.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	389	106	$59.00	$2.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	355	291	$315.66	$69.85
11102 Tangential biopsy of single skin lesion	196	171	$462.00	$29.57
17000 Destruction of skin growth	167	147	$248.39	$43.41
17110 Destruction of up to 14 skin growths	121	105	$345.31	$63.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	86	$144.65	$23.27
99213 Established patient office or other outpatient visit, typically 15 minutes	90	81	$212.00	$45.00
11103 Biopsy of related skin growth, each additional growth	71	45	$249.00	$21.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$346.59	$67.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$489.00	$115.19
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$234.57	$44.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	303	69	$59.00	$2.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	133	$296.00	$70.18
17000 Destruction of skin growth	111	103	$243.00	$42.69
11100 Biopsy of single growth of skin and/or tissue	108	102	$312.00	$39.47
99213 Established patient office or other outpatient visit, typically 15 minutes	92	85	$199.00	$47.78
17110 Destruction of up to 14 skin growths	73	69	$340.00	$66.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	56	$140.00	$23.03
11101 Biopsy of each additional growth of skin and/or tissue	52	30	$154.00	$23.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$342.00	$70.89
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$231.00	$45.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$235.00	$67.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$142.00	$40.74

Medical Specialties & State Licenses

CMS Verified: 2020-11-17

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN285181

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110120624A (MA)

Hospital & Practice Group Affiliations

Dermatology Professionals Llc

153 E Washington St, North Attleboro, MA 027602312

Phone: 9783717010

Secondary Practice Locations

580 Quarry St, Unit 3

Quincy, MA 021691581

Phone: 5082540613

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners

Dr. Ryan Svoboda , MD

Dermatology

NPI 1083972335

Doctor of Medicine (M.D.)

Sara Attari

Student in an Organized Health Care Education/Training Program

NPI 1114716487

Everlyne Njoroge , CNP

Nurse Practitioner - Acute Care

NPI 1164011078

Certified Nurse Practitioner

Dr. Rita Khodosh , MD, PhD

Dermatology

NPI 1184886202

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Tracey Otto , MD

Dermatology

NPI 1215666995

Doctor of Medicine (M.D.)

Heather Galonzka , NP

Nurse Practitioner

NPI 1245602457

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2020

Nurse Practitioner (License #RN285181 in MA)

📍

Updated Practice Location March 09, 2018

Registered at 281 LINCOLN ST, WORCESTER, MA 016052138 (Tel: 5083345979)

📍

Updated Business Mailing Address March 09, 2018

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

✅

NPI Profile Active August 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 14, 2016

Registered at 580 QUARRY ST, UNIT 3, QUINCY, MA 021691581 (Tel: 5082540613)

📍

Updated Business Mailing Address August 14, 2016

Registered at 580 QUARRY ST, UNIT 3, QUINCY, MA 021691581

👤

Provider Name / Credentials Updated August 14, 2016

Recorded as MONICA VARGAS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2016

Nurse Practitioner (License #285181 in MA)

🟢

Initial NPI Registration & Enumeration August 14, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Monica Vargas. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1639623085

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 14, 2016

Last Update: November 17, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.