Biju Varghese, APRN
NPI 1609443951ActiveIndividual· Nurse Practitioner· Sanford, FL
Nurse Practitioner (APRN) with Inpatient Care Specialists LLC and 2 other groups, practicing in Sanford, Florida. Their prescriptions cost Medicare Part D more than their services did: $637,358 for 1,377 claims, against $247,541 paid for services in 2024. Axsome Therapeutics, Inc. was the largest of 5 companies reporting payments in 2025, $728.45 in all, mostly food and beverage. Lists Adventhealth Waterman as a hospital affiliation.
Overview
| NPI | 1609443951 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | Yes |
| NPI issued | Jun 7, 2021 |
| Last updated in NPPES | Jan 13, 2026 |
| Certified by provider | Jan 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11013523 | FL |
| Nurse Practitioner, Family | 363LF0000X | 11013523 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 935 |
|---|---|
| Services billed | 4,930 across 22 procedure codes |
| Paid by Medicare | $247,541 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,377 · 1,386 30-day fills |
|---|---|
| Patients | 228 |
| Total drug cost | $637,358 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Inpatient Care Specialists LLCInverness, FL · 111 clinicians
- Central Florida Inpatient Medicine LLCLake Mary, FL · 111 clinicians
- Orlando Inpatient Medicine PAOrlando, FL · 57 clinicians
Hospital affiliation
- Adventhealth WatermanTavares, FL
Industry payments (Open Payments)
- 2025$728.45 · 13 payments from 5 companies
- 2024$491.35 · 9 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axsome Therapeutics, Inc. | $247.04 | 2 |
| Teva Pharmaceuticals USA, Inc. | $194.00 | 5 |
| Neurocrine Biosciences, Inc. | $124.86 | 1 |
| E.R. Squibb & Sons, L.L.C. | $92.93 | 1 |
| Acadia Pharmaceuticals Inc | $69.62 | 4 |
What the 2025 payments were for
- Food and Beverage$728.45 · 13 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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