BERHANE ADHANOM GEBRESELASIE MD
NPI 1164775433
Internal Medicine in York, PA

Active since October 23, 2012PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
1001 S GEORGE ST, 3RD FLOOR, YORK, PA 17403(717) 851-4005(717) 812-2495 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 21, 2017, Jun 13, 2016, Mar 17, 2016 and 1 more (4 updates tracked since 2015).

About Berhane Adhanom Gebreselasie Md NPPES

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

BERHANE ADHANOM GEBRESELASIE MD (NPI 1164775433) is an individual internal medicine provider in York, Pennsylvania, licensed in Pennsylvania (MD455139) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Penn State Health St. Joseph, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1164775433
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBERHANE ADHANOM GEBRESELASIECredential: MD
Location Address1001 S GEORGE ST, 3RD FLOORYork, PA 17403-3676
Mailing Address3450 Wayne Ave Apt 5gBronx, NY 10467-2518 · (917) 515-2344
Fax(717) 812-2495
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 23, 2012
Last NPPES UpdateFebruary 21, 20174 updates tracked since enumeration
NPI 1164775433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD455139
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.
1001 S GEORGE ST, York, PA 17403

Other Identifiers 3

Medicare PINP01572186PA
Medicare PIN428579FLTPA
Medicaid103043499PA

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

Berhane Adhanom Gebreselasie 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 ID1759696974
PECOS Enrollment IDI20150818004213
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.

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.
426 services140 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.
95 services93 patients

Hospital Affiliations CMS Care Compare 2

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

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17403 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

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 suppliers14 claims14 services$19.48 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 suppliers14 claims14 services$100.81 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.

Speech-Language Pathologist
1001 S GEORGE ST
YORK, PA 17403
Nurse Practitioner (Adult Health)
1001 S GEORGE ST, 3RD FLOOR
YORK, PA 17403
Family Medicine
1001 S GEORGE ST, YORK HOSPITAL
YORK, PA 17403
Nurse Anesthetist, Certified Registered
1001 S GEORGE ST
YORK, PA 17403
Emergency Medicine
1001 S GEORGE ST
YORK, PA 17403
Physician Assistant (Medical)
1001 S GEORGE ST
YORK, PA 17403
Emergency Medicine
1001 S GEORGE ST
YORK, PA 17403
Internal Medicine
1001 S GEORGE ST
YORK, PA 17403

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 Berhane Gebreselasie's NPI number?

The NPI number for Berhane Gebreselasie is 1164775433. It was assigned to this individual provider in the NPPES registry on October 23, 2012.

Where is Berhane Gebreselasie located?

Berhane Gebreselasie practices at 1001 S George St 3rd Floor, York, PA 17403. The listed phone number is (717) 851-4005.

What is Berhane Gebreselasie's specialty?

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

Is Berhane Gebreselasie enrolled in Medicare?

Yes. Berhane Gebreselasie 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.

Is Berhane Gebreselasie affiliated with any hospitals?

According to CMS data, Berhane Gebreselasie is affiliated with Penn State Health St. Joseph and Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Berhane Gebreselasie was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.