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DR. EYUEL TEREFE MD
NPI 1003341652
Psychiatry & Neurology - Psychiatry in Baldwin, WI

Active since April 20, 2017PECOS EnrolledAccepts Medicare Assignment
82.37/100
CMS Quality Rating
1100 BERGSLIEN ST, BALDWIN, WI 54002(715) 684-1553(715) 684-1119 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2024, Dec 30, 2021, May 21, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Eyuel Terefe Md NPPES

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

DR. EYUEL TEREFE MD (NPI 1003341652) is an individual psychiatry provider in Baldwin, Wisconsin, licensed in Arizona (69219) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2016).

NPPES Registry Identity

NPI1003341652
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. EYUEL TEREFECredential: MD
Location Address1100 BERGSLIEN STBaldwin, WI 54002-2600
Mailing Address1100 Bergslien StBaldwin, WI 54002-2600 · (715) 684-1553 · Fax (715) 684-1119
Phone(715) 684-1553
Fax(715) 684-1119
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2016
Enumeration DateApril 20, 2017
Last NPPES UpdateApril 5, 20245 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
✔ NPI 1003341652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in AZ · 69219✔ Licensed in WI · 75173
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10060999 (TX)
1100 BERGSLIEN ST, Baldwin, WI 54002
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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. Eyuel Terefe Md 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 ID3779851043
PECOS Enrollment IDI20230602001215
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 2

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 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.
31 services17 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54002 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.57
Promoting Interoperability100
Improvement Activities40
Cost57.66

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.

SARAH MICHELLE ANDERSON N.P.
Nurse Practitioner (Family)
1100 BERGSLIEN ST
BALDWIN, WI 54002
St. Croix County (715) 684-1111
ABBEY ARNDT NP
Nurse Practitioner (Family)
1100 BERGSLIEN ST
BALDWIN, WI 54002
St. Croix County (715) 684-1111
DR. SELENA SCHMIT RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1100 BERGSLIEN ST
BALDWIN, WI 54002
St. Croix County (651) 492-0449
ELIZABETH LACY RAU DPT
Physical Therapist
1100 BERGSLIEN ST
BALDWIN, WI 54002
St. Croix County (715) 684-1111
CHRISTINE L VEENENDALL
Registered Nurse
1100 BERGSLIEN ST
BALDWIN, WI 54002
St. Croix County (715) 684-1111
KATIE JO CARSTENS PA-C
Physician Assistant
1100 BERGSLIEN ST
BALDWIN, WI 54002
St. Croix County (715) 684-1101
ALICIA SUND
Nurse Practitioner
1100 BERGSLIEN ST
BALDWIN, WI 54002
St. Croix County (715) 684-1111
DENNIS R HARTUNG MD
Obstetrics & Gynecology
1100 BERGSLIEN ST
BALDWIN, WI 54002
St. Croix County (715) 684-1111

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 Eyuel Terefe's NPI number?

The NPI number for Eyuel Terefe is 1003341652. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Eyuel Terefe located?

Eyuel Terefe practices at 1100 Bergslien St, Baldwin, WI 54002. The listed phone number is (715) 684-1553.

What is Eyuel Terefe's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Eyuel Terefe enrolled in Medicare?

Yes. Eyuel Terefe 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 Eyuel Terefe accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Eyuel Terefe 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.

When was this NPI record last updated?

The NPPES record for Eyuel Terefe was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.