Active NPI 1861466864 Individual Practitioner Male Practitioner

Dr. Albert Victorio Vargas , MD

Surgery • Sandusky, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Albert Vargas, MD is a certified Surgery practicing in Sandusky, OH. With approximately 36 years of clinical experience since graduating from Ohio State University College Of Medicine in 1990, Dr. Vargas delivers high-quality medical care to the local community at 703 TYLER ST.

Dr. Vargas maintains professional affiliations with North Coast Professional Company, Llc, Northern Ohio Medical Specialists, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

703 Tyler St
Suite 150

Sandusky, OH 448703367

Telephone 4196258722

Associated Practice Facility / Clinic

🏢 Bay Area Radiologists, Inc. Facility NPI 1215963954

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sandusky, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +8.7 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Sandusky, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vargas (36 Years) 36 Yrs

Sandusky Specialty Average (27.3 Years) 27.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	100	61	$160.00	$88.31
99213 Established patient office or other outpatient visit, typically 15 minutes	92	28	$160.00	$64.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$310.00	$161.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	51	$370.00	$170.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	20	$250.00	$116.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$240.00	$124.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$310.00	$130.87
49505 Repair of groin hernia (5 years or older)	15	15	$2000.00	$517.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$205.00	$108.37
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$2700.00	$318.22
11042 Removal of skin and tissue, 20.0 sq cm or less	12	12	$380.00	$51.94
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$500.00	$17.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	27	$160.00	$60.77
99213 Established patient office or other outpatient visit, typically 15 minutes	105	64	$160.00	$87.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$310.00	$160.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	54	$370.00	$170.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	55	29	$250.00	$117.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	37	$240.00	$123.73
45378 Diagnostic exam of large bowel using a flexible endoscope	23	22	$1400.00	$171.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$205.00	$108.69
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$2900.00	$683.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$310.00	$130.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	116	65	$160.00	$88.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$310.00	$162.69
99213 Established patient office or other outpatient visit, typically 15 minutes	64	21	$160.00	$64.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	44	$370.00	$194.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	20	$195.58	$100.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	21	$240.00	$125.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$205.00	$110.48
11042 Removal of skin and tissue, 20.0 sq cm or less	14	11	$380.00	$51.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$250.00	$134.34
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$1400.00	$165.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	58	$159.79	$88.56
99213 Established patient office or other outpatient visit, typically 15 minutes	59	22	$159.66	$66.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$310.00	$163.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	42	15	$190.00	$102.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	32	$240.00	$127.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	27	$250.00	$135.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$204.75	$110.90
11042 Removal of skin and tissue, 20.0 sq cm or less	18	14	$380.00	$51.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$370.00	$198.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	113	65	$140.00	$73.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	45	$200.00	$105.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$310.00	$162.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	46	$370.00	$200.10
99213 Established patient office or other outpatient visit, typically 15 minutes	42	18	$140.00	$51.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	16	$187.27	$104.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$200.00	$104.18
11042 Removal of skin and tissue, 20.0 sq cm or less	19	17	$380.00	$58.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$250.00	$139.38
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2900.00	$733.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	108	67	$139.44	$71.79
99213 Established patient office or other outpatient visit, typically 15 minutes	99	31	$139.49	$50.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	64	$370.00	$197.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	54	$199.47	$105.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$307.92	$160.74
11042 Removal of skin and tissue, 20.0 sq cm or less	36	28	$380.00	$59.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	24	$180.00	$100.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$199.26	$105.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$310.00	$128.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	104	67	$130.38	$67.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	70	$195.06	$98.97
99213 Established patient office or other outpatient visit, typically 15 minutes	84	22	$130.00	$48.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	73	70	$370.00	$192.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	63	30	$180.00	$99.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$295.00	$154.38
11042 Removal of skin and tissue, 20.0 sq cm or less	45	28	$380.00	$56.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$295.00	$123.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$195.00	$100.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	14	$125.00	$69.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	185	103	$106.73	$65.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	72	$169.50	$98.04
99213 Established patient office or other outpatient visit, typically 15 minutes	80	22	$105.94	$45.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	75	$332.37	$187.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	70	31	$118.03	$67.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$167.79	$98.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$264.21	$151.20
11042 Removal of skin and tissue, 20.0 sq cm or less	27	20	$380.00	$55.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$159.00	$70.58
47562 Removal of gallbladder using an endoscope	12	12	$3066.67	$595.02

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35.078979

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2237743 (OH)

Hospital & Practice Group Affiliations

Northern Ohio Medical Specialists, Llc

703 Tyler St, Sandusky, OH 448703392

Phone: 4196258722

North Coast Professional Company, Llc

1111 Hayes Ave, Sandusky, OH 448703323

Phone: 4195577400

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Fredric Itzkowitz , DO

Surgery

NPI 1649266362

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active June 29, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address June 29, 2017

Registered at P.O. BOX 378, SANDUSKY, OH 448710378 (Tel: 4196091112)

📍

Updated Practice Location June 29, 2017

Registered at 703 TYLER ST, SUITE 150, SANDUSKY, OH 448703367 (Tel: 4196258722)

👤

Provider Name / Credentials Updated June 29, 2017

Recorded as ALBERT VARGAS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2017

Surgery (License #35.078979 in OH)

✅

NPI Profile Active January 21, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 21, 2011

Registered at 703 TYLER ST, SUITE 150, SANDUSKY, OH 448703367 (Tel: 4196258722)

📍

Updated Business Mailing Address January 21, 2011

Registered at 2202 EAGLES NEST CIR, SANDUSKY, OH 448706070 (Tel: 4196258722)

👤

Provider Name / Credentials Updated January 21, 2011

Recorded as ALBERT VARGAS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2011

Surgery (License #35.078979 in OH)

🟢

Initial NPI Registration & Enumeration February 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861466864

Entity Type:

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

Enumeration Date: February 15, 2006

Last Update: June 29, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

P.o. Box 378

Sandusky, OH 448710378

Phone: 4196091112

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.