HEBIST BERHANE MD
NPI 1013327600
Internal Medicine in Boston, MA

Active since May 05, 2014PECOS Enrolled
94.56/100
CMS Quality Rating
75 FRANCIS ST, BOSTON, MA 02115(617) 732-5500 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hebist Berhane Md NPPES

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

HEBIST BERHANE MD (NPI 1013327600) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (276167) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1013327600
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHEBIST BERHANECredential: MD
Location Address75 FRANCIS STBoston, MA 02115-6110
Mailing Address75 Francis StBoston, MA 02115-6110
Sole ProprietorYes
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2014
Enumeration DateMay 5, 2014
Last NPPES UpdateOctober 18, 2018
NPI 1013327600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 276167
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

75 FRANCIS ST, Boston, MA 02115

Secondary Practice Location 1

Location 1200 Lothrop StPittsburgh, PA 15213-2536 · Phone (412) 647-8762

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Hebist Berhane Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163717026
PECOS Enrollment IDI20191014001839
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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
102 services101 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
49 services49 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110011
Location705 Dixie StreetCarrollton, GA 30117 · Carroll County
Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110015
Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County
Emergency services Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Higgins General Hospital

Critical Access Hospitals · Bremen, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111320
Location200 Allen Memorial DriveBremen, GA 30110 · Haralson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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.

Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Internal Medicine (Infectious Disease)
75 FRANCIS ST
BOSTON, MA 02115
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115

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 Hebist Berhane's NPI number?

The NPI number for Hebist Berhane is 1013327600. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Hebist Berhane located?

Hebist Berhane practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.

What is Hebist Berhane's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hebist Berhane enrolled in Medicare?

Yes. Hebist Berhane is registered in the Medicare PECOS enrollment system.

What insurance does Hebist Berhane accept?

Health plans from Oscar Insurance Company list Hebist Berhane 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 Hebist Berhane affiliated with any hospitals?

According to CMS data, Hebist Berhane is affiliated with Tanner Medical Center - Carrollton, Tanner Medical Center Villa Rica, Piedmont Eastside Medical Center and Higgins General Hospital.

When was this NPI record last updated?

The NPPES record for Hebist Berhane was last updated on October 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.