DR. BERHANEMESKEL NESKETA M.D.
NPI 1003126996
Internal Medicine - Pulmonary Disease in Owensboro, KY

Q: What is Berhanemeskel Nesketa's NPI number?

The NPI number for Berhanemeskel Nesketa is 1003126996. It was assigned to this individual provider in the NPPES registry on October 13, 2010.

Q: What is Berhanemeskel Nesketa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since October 13, 2010PECOS EnrolledAccepts Medicare Assignment

1301 PLEASANT VALLEY RD, SUITE 404, OWENSBORO, KY 42303(270) 417-7500(270) 417-7699 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 26, 2020, Mar 24, 2016 (2 updates tracked since 2016).

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About Dr. Berhanemeskel Nesketa M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BERHANEMESKEL NESKETA M.D. (NPI 1003126996) is an individual pulmonary disease provider in Owensboro, Kentucky, licensed in Kentucky (47275) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1003126996

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. BERHANEMESKEL NESKETACredential: M.D.

Location Address1301 PLEASANT VALLEY RD, SUITE 404Owensboro, KY 42303-9774

Mailing AddressPo Box 23229Owensboro, KY 42304-3229 · (270) 688-1330 · Fax (270) 688-1338

Phone(270) 417-7500

Fax(270) 417-7699

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateOctober 13, 2010

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedJune 26, 2020

✔ NPI 1003126996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in KY · 47275

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1301 PLEASANT VALLEY RD, Owensboro, KY 42303

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Other Identifiers 2

Medicaid7100304030KY

Medicaid201249550IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Berhanemeskel Nesketa M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173741220

PECOS Enrollment IDI20140902001763

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

235 services185 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

148 services66 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

117 services88 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

93 services93 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

89 services89 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

89 services89 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

50 services50 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

38 services33 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

37 services28 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

35 services35 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

35 services35 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

27 services27 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

22 services22 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

21 services21 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

20 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180038

Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County

Emergency services Birthing friendly

Ohio County Hospital

Critical Access Hospitals · Hartford, KY

OwnershipProprietary

CMS Certification Number181323

Location1211 Old Main StreetHartford, KY 42347 · Ohio County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers17 claims34 services$1.55 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers69 claims69 services$17.21 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers15 claims15 services$921.16 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

3 suppliers21 claims21 services$797.38 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers18 claims18 services$5.56 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers147 claims155 services$91.68 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CATHERINE ELIZABETH BOWLDS APRN

Nurse Practitioner (Family)

1301 PLEASANT VALLEY RD
OWENSBORO, KY 42303

Daviess County (270) 929-5731

MR. RICHARD S. BURGAN PA-C

Physician Assistant

1301 PLEASANT VALLEY RD, SUITE 202
OWENSBORO, KY 42303

Daviess County (270) 417-7500

OWENSBORO HEALTH MEDICAL GROUP, INC

Podiatrist (Foot & Ankle Surgery)

1301 PLEASANT VALLEY RD, SUITE 500B
OWENSBORO, KY 42303

Daviess County (270) 417-7940

OWENSBORO HEALTH INC

Pharmacy (Community/Retail Pharmacy)

1301 PLEASANT VALLEY RD, SUITE 104
OWENSBORO, KY 42303

Daviess County (270) 417-6701

LAUREN MAHONEY

Physician Assistant

1301 PLEASANT VALLEY RD, SUITE 500B
OWENSBORO, KY 42303

Daviess County (270) 417-7940

THOMAS N. TABB M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)

1301 PLEASANT VALLEY RD, SUITE 300
OWENSBORO, KY 42303

Daviess County (270) 417-7700

DR. CHRISTOPHER J. HAVELDA M.D.

Internal Medicine (Cardiovascular Disease)

1301 PLEASANT VALLEY RD, SUITE 202
OWENSBORO, KY 42303

Daviess County (270) 417-7500

MR. VINCENT RYAN COYNE PA-C

Physician Assistant (Surgical)

1301 PLEASANT VALLEY RD, SUITE 500B
OWENSBORO, KY 42303

Daviess County (270) 417-7940

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Berhanemeskel Nesketa's NPI number?

The NPI number for Berhanemeskel Nesketa is 1003126996. It was assigned to this individual provider in the NPPES registry on October 13, 2010.

Where is Berhanemeskel Nesketa located?

Berhanemeskel Nesketa practices at 1301 Pleasant Valley Rd Suite 404, Owensboro, KY 42303. The listed phone number is (270) 417-7500.

What is Berhanemeskel Nesketa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Berhanemeskel Nesketa enrolled in Medicare?

Yes. Berhanemeskel Nesketa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Berhanemeskel Nesketa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Berhanemeskel Nesketa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Berhanemeskel Nesketa affiliated with any hospitals?

According to CMS data, Berhanemeskel Nesketa is affiliated with Owensboro Health Regional Hospital and Ohio County Hospital.

When was this NPI record last updated?

The NPPES record for Berhanemeskel Nesketa was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.