DR. DANIEL TESFAYE MD
NPI 1023033065
Psychiatry & Neurology - Neurology in Conyers, GA

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
97.99/100
CMS Quality Rating
1368 WELLBROOK CIR NE, STE A, CONYERS, GA 30012(770) 274-3378(770) 274-3378 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2019, Mar 22, 2017, Sep 23, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Daniel Tesfaye Md NPPES

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

DR. DANIEL TESFAYE MD (NPI 1023033065) is an individual neurology provider in Conyers, Georgia, licensed in Georgia (67614) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Rockdale Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1023033065
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. DANIEL TESFAYECredential: MD
Location Address1368 WELLBROOK CIR NE, STE AConyers, GA 30012-3980
Mailing AddressPo Box 542Conyers, GA 30012 · (770) 274-3378
Fax(770) 274-3378
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 12, 2006
Last NPPES UpdateAugust 22, 20194 updates tracked since enumeration
NPI 1023033065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in GA · 67614
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1368 WELLBROOK CIR NE, Conyers, GA 30012

Other Identifiers 1

Medicaid89126GJNC

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 and accepts Medicare assignment

Dr. Daniel Tesfaye 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 ID2567550379
PECOS Enrollment IDI20170421001836
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 15

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.
242 services150 patients
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.
171 services108 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.
115 services115 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
97 services52 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
57 services56 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
51 services49 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

97.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Surgery
1368 WELLBROOK CIR NE, SUITE B
CONYERS, GA 30012
Specialist
1368 WELLBROOK CIR NE, SUITE B
CONYERS, GA 30012
Surgery
1368 WELLBROOK CIR NE, SUITE B
CONYERS, GA 30012

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 Daniel Tesfaye's NPI number?

The NPI number for Daniel Tesfaye is 1023033065. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Daniel Tesfaye located?

Daniel Tesfaye practices at 1368 Wellbrook Cir NE Ste A, Conyers, GA 30012. The listed phone number is (770) 274-3378.

What is Daniel Tesfaye's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Daniel Tesfaye enrolled in Medicare?

Yes. Daniel Tesfaye 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 Daniel Tesfaye accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Daniel Tesfaye 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 Daniel Tesfaye affiliated with any hospitals?

According to CMS data, Daniel Tesfaye is affiliated with Piedmont Rockdale Hospital and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Tesfaye was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.