Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. YAPHET TILAHUN M.D.
NPI 1134469166
Colon & Rectal Surgery in Melbourne, FL

Q: What is Yaphet Tilahun's NPI number?

The NPI number for Yaphet Tilahun is 1134469166. It was assigned to this individual provider in the NPPES registry on February 28, 2013.

Q: What is Yaphet Tilahun's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Yaphet Tilahun was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.

Active since February 28, 2013PECOS EnrolledAccepts Medicare Assignment

78.01/100

CMS Quality Rating

1223 GATEWAY DR, MELBOURNE, FL 32901(321) 407-7097(321) 323-3640 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2026, Aug 16, 2021, Aug 11, 2021 (3 updates tracked since 2021).

On this page

About Dr. Yaphet Tilahun M.d. NPPES

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

DR. YAPHET TILAHUN M.D. (NPI 1134469166) is an individual colon & rectal surgery provider in Melbourne, Florida, licensed in Florida (ME120338) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Melbourne.

NPPES Registry Identity

NPI1134469166

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameDR. YAPHET TILAHUNCredential: M.D.

Location Address1223 GATEWAY DRMelbourne, FL 32901-2607

Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 407-7097

Phone(321) 407-7097

Fax(321) 323-3640

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2012

Enumeration DateFebruary 28, 2013

Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1134469166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in FL · ME120338

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

1223 GATEWAY DR, Melbourne, FL 32901

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Secondary Practice Location 1

Location 11130 Hickory St Ste BMelbourne, FL 32901-1973 · Phone (321) 407-7097 · Fax (321) 323-3640

Other Identifiers 1

Medicaid100979100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. 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. Yaphet Tilahun 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 ID2567690381

PECOS Enrollment IDI20181023002238

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 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.

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.

51 services37 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.

36 services36 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.

27 services23 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

22 services22 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

78.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

57.51

Promoting Interoperability

100

Improvement Activities

Cost

69.18

Referred Medical Equipment & Supplies CMS DME claims 3

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

Ostomy belt, each A4367

DME-Orthotic Devices · category DF010N

2 suppliers11 claims11 services$7.12 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

2 suppliers15 claims400 services$4.91 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

2 suppliers14 claims495 services$0.23 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.

MICHELE ANNE MCCARTHY-LAVISH APRN

Nurse Practitioner (Adult Health)

1223 GATEWAY DR
MELBOURNE, FL 32901

Brevard County (321) 549-0752

JASMINE MONTANEZ APRN

Nurse Practitioner

1223 GATEWAY DR
MELBOURNE, FL 32901

Brevard County (321) 312-3328

SUSAN B BLAUEL AUD

Audiologist

1223 GATEWAY DR
MELBOURNE, FL 32901

Brevard County (321) 984-3885

JASHBHAI K. PATEL M.D.

Surgery

1223 GATEWAY DR, SUITE 2B
MELBOURNE, FL 32901

Brevard County (321) 728-6002

ELIZABETH MARIE AMBROSE

Nurse Practitioner

1223 GATEWAY DR
MELBOURNE, FL 32901

Brevard County (321) 312-3456

TASSCIA M WILLIAMS SOUFFRANT MD

Obstetrics & Gynecology

1223 GATEWAY DR
MELBOURNE, FL 32901

Brevard County (321) 361-5615

ALICE SPINELLI APRN

Nurse Practitioner

1223 GATEWAY DR
MELBOURNE, FL 32901

Brevard County (321) 728-6002

GLORY A BENNETTE ARNP

Nurse Practitioner (Family)

1223 GATEWAY DR
MELBOURNE, FL 32901

Brevard County (321) 725-4505

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 Yaphet Tilahun's NPI number?

The NPI number for Yaphet Tilahun is 1134469166. It was assigned to this individual provider in the NPPES registry on February 28, 2013.

Where is Yaphet Tilahun located?

Yaphet Tilahun practices at 1223 Gateway Dr, Melbourne, FL 32901. The listed phone number is (321) 407-7097.

What is Yaphet Tilahun's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Yaphet Tilahun enrolled in Medicare?

Yes. Yaphet Tilahun 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 Yaphet Tilahun accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer list Yaphet Tilahun 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 Yaphet Tilahun affiliated with any hospitals?

According to CMS data, Yaphet Tilahun is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Yaphet Tilahun was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.