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MEBRAHTOM W TESFAI MD
NPI 1023297397
Internal Medicine in Lancaster, SC

Active since November 02, 2007PECOS EnrolledAccepts Medicare Assignment
800 W MEETING ST, LANCASTER, SC 29720(803) 286-1214 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 26, 2024, Jun 19, 2019, May 29, 2019 and 16 more (19 updates tracked since 2016).

About Mebrahtom W Tesfai Md NPPES

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

MEBRAHTOM W TESFAI MD (NPI 1023297397) is an individual internal medicine provider in Lancaster, South Carolina, licensed in South Carolina (40101) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Musc Health Chester Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1023297397
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMEBRAHTOM W TESFAICredential: MD
Location Address800 W MEETING STLancaster, SC 29720-2202
Mailing AddressPo Box 23321New York, NY 10087-4321
Phone(803) 286-1214
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 2, 2007
Last NPPES UpdateDecember 26, 202419 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
✔ NPI 1023297397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in SC · 40101✔ Licensed in SC · MD40101✔ Licensed in NC · 2007-01772
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.
800 W MEETING ST, Lancaster, SC 29720
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Other Names 1

Professional Name (2)Mebrahtom W Tesfai Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mebrahtom W Tesfai 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 ID941390751
PECOS Enrollment IDI20180201000450
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Mebrahtom Tesfai reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sc Hospital Medicine Physicians LLC
Same address
Emergency Medicine
800 W MEETING ST
Lancaster, SC 29720
  • Reassigned Medicare billing, South Carolina enrollment
  • 59 clinicians in this Medicare group
NPI 1326677915 (803) 286-1214
Fhpg, LLC
61 mi
Family Medicine
921 S LONG DR, SUITE 101
Rockingham, NC 28379
  • Reassigned Medicare billing, North Carolina enrollment
  • 333 clinicians in this Medicare group
NPI 1720034895 (910) 417-3850
Sound Physicians Of South Carolina, LLC
96 mi
Hospitalist
302 UNIVERSITY PKWY
Aiken, SC 29801
  • Reassigned Medicare billing, South Carolina enrollment
  • 117 clinicians in this Medicare group
NPI 1922428358 (803) 641-5000
Musc Community Physicians
98 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290
Cogent Healthcare Of Georgia PC
210 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, South Carolina enrollment
  • 268 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

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.
372 services127 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.
166 services78 patients
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.
92 services91 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
78 services74 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
72 services71 patients

Hospital Affiliations CMS Care Compare 2

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

Musc Health Chester Medical Center

Acute Care Hospitals · Chester, SC
OwnershipProprietary
CMS Certification Number420019
Location1 Medical Park DriveChester, SC 29706 · Chester County
Emergency services

Musc Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420036
Location800 W Meeting StLancaster, SC 29720 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29720 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers38 claims38 services$14.31 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
3 suppliers38 claims38 services$56.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

IAN MICHAEL CARRESE PA-C
Physician Assistant
800 W MEETING ST
LANCASTER, SC 29720
Lancaster County (843) 792-1414
TOMAS LUKE LAMBERT MD
Radiology (Vascular & Interventional Radiology)
800 W MEETING ST
LANCASTER, SC 29720
Lancaster County (904) 639-2000
DR. NASER RAWASHDEH MD
Student in an Organized Health Care Education/Training Program
800 W MEETING ST
LANCASTER, SC 29720
Lancaster County (843) 792-2575
METROLINA ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
800 W MEETING ST
LANCASTER, SC 29720
Lancaster County (803) 286-1214
SWAPNA PATEL M. D
Internal Medicine
800 W MEETING ST
LANCASTER, SC 29720
Lancaster County (803) 286-1310
ROBERT DUFFELL-HOFFMAN MS RD LD
Dietitian, Registered
800 W MEETING ST, SPRINGS MEMORIAL HOSPITAL-FOOD AND NUTRITION DEPARTMENT
LANCASTER, SC 29720
Lancaster County (803) 313-3278
DR. DANIEL ROACH CRNA
Nurse Anesthetist, Certified Registered
800 W MEETING ST
LANCASTER, SC 29720
Lancaster County (803) 286-1214
MR. MICHAEL ALEXANDER KITHCART
Nurse Anesthetist, Certified Registered
800 W MEETING ST
LANCASTER, SC 29720
Lancaster County (803) 286-1214

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 Mebrahtom Tesfai's NPI number?

The NPI number for Mebrahtom Tesfai is 1023297397. It was assigned to this individual provider in the NPPES registry on November 2, 2007. The provider is also known as Mebrahtom W Tesfai MD.

Where is Mebrahtom Tesfai located?

Mebrahtom Tesfai practices at 800 W Meeting St, Lancaster, SC 29720. The listed phone number is (803) 286-1214.

What is Mebrahtom Tesfai's specialty?

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

Is Mebrahtom Tesfai enrolled in Medicare?

Yes. Mebrahtom Tesfai 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.

Which organizations bill Medicare for Mebrahtom Tesfai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mebrahtom Tesfai reassigns Medicare benefits to 5 organizations: Sc Hospital Medicine Physicians LLC (Lancaster, SC), Fhpg, LLC (Rockingham, NC), Sound Physicians Of South Carolina, LLC (Aiken, SC), Musc Community Physicians (Bamberg, SC) and Cogent Healthcare Of Georgia PC (Macon, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mebrahtom Tesfai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mebrahtom Tesfai accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and First Choice Next list Mebrahtom Tesfai 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 Mebrahtom Tesfai affiliated with any hospitals?

According to CMS data, Mebrahtom Tesfai is affiliated with Musc Health Chester Medical Center and Musc Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Mebrahtom Tesfai was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.