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DR. NIGUSSIE ALEMU GELETA
NPI 1194088302
Hospitalist in Chambersburg, PA

Active since June 21, 2012PECOS EnrolledAccepts Medicare Assignment
112 N 7TH ST, CHAMBERSBURG, PA 17201(717) 217-4300(717) 217-4217 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2020, Apr 16, 2020, Jan 27, 2020 and 1 more (4 updates tracked since 2016).

About Dr. Nigussie Alemu Geleta NPPES

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

DR. NIGUSSIE ALEMU GELETA (NPI 1194088302) is an individual hospitalist provider in Chambersburg, Pennsylvania, licensed in Pennsylvania (MD456681) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Carroll Hospital Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194088302
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. NIGUSSIE ALEMU GELETA
Location Address112 N 7TH STChambersburg, PA 17201-1720
Mailing Address1007 E West HwyTakoma Park, MD 20912-5931 · (240) 462-4888
Phone(717) 217-4300
Fax(717) 217-4217
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 21, 2012
Last NPPES UpdateJune 22, 20204 updates tracked since enumeration
NPPES CertifiedJune 22, 2020
✔ NPI 1194088302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · MD456681
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101258256 (VA), MD456681 (PA), D0079566 (MD)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
112 N 7TH ST, Chambersburg, PA 17201
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1501 E Main StWaynesboro, PA 17268-2353 · Phone (717) 765-4000 · Fax (717) 765-3669
Location 21007 E West HwyTakoma Park, MD 20912-5931 · Phone (240) 462-4888

Other Identifiers 1

Medicaid1194088302VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, CareSource.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. Nigussie Alemu Geleta 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 ID4385959725
PECOS Enrollment IDI20150814012900, I20160520001405
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.

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.
376 services200 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.
105 services104 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.
81 services80 patients

Hospital Affiliations CMS Care Compare 2

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

Carroll Hospital Center

Acute Care Hospitals · Westminster, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210033
Location200 Memorial AvenueWestminster, MD 21157 · Carroll County
Emergency services Birthing friendly

University Of MD St Joseph Medical Center

Acute Care Hospitals · Towson, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210063
Location7601 Osler DriveTowson, MD 21204 · Baltimore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17201 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%35 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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
2 suppliers20 claims20 services$64.90 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.69 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers17 claims17 services$15.43 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.

SABA MEMON M.D.
Hospitalist
112 N 7TH ST
CHAMBERSBURG, PA 17201
Franklin County (717) 217-4300
MRS. JULIANNA BUCHANAN MCCRACKEN PT
Physical Therapist
112 N 7TH ST, CHAMBERSBURG HOSPITAL- PHYSICAL MEDICINE DEPARTMENT
CHAMBERSBURG, PA 17201
Franklin County (717) 765-3456
MRS. KIMBERLY DAWN CHANEY OTR
Occupational Therapist
112 N 7TH ST, CHAMBERSBURG HOSPITAL-PHYSICAL MEDICINE DEPARTMENT
CHAMBERSBURG, PA 17201
Franklin County (717) 267-7901
DIANE JOY CLOPPER COTA
Occupational Therapy Assistant
112 N 7TH ST, CHAMBERSBURG HOSPITAL - PHYSICAL MEDICINE DEPARTMENT
CHAMBERSBURG, PA 17201
Franklin County (717) 267-7715
NICHOLAOS KALATHAS
Emergency Medicine
112 N 7TH ST
CHAMBERSBURG, PA 17201
Franklin County (717) 267-7146
MR. PAUL G HESTER CRNA
Nurse Anesthetist, Certified Registered
112 N 7TH ST
CHAMBERSBURG, PA 17201
Franklin County (717) 267-7164
MS. ANN MARIE PREBISH TELEMECO PT
Physical Therapist
112 N 7TH ST, CHAMBERSBURG HOSPITAL- PHYSICAL MEDICINE DEPARTMENT
CHAMBERSBURG, PA 17201
Franklin County (717) 267-7715
JANICE LEE ZIMMERMAN PTA
Physical Therapy Assistant
112 N 7TH ST, CHAMBERSBURG HOSPITAL-PHYSICAL MEDICINE DEPARTMENT
CHAMBERSBURG, PA 17201
Franklin County (717) 267-7715

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 Nigussie Geleta's NPI number?

The NPI number for Nigussie Geleta is 1194088302. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Nigussie Geleta located?

Nigussie Geleta practices at 112 N 7th St, Chambersburg, PA 17201. The listed phone number is (717) 217-4300.

What is Nigussie Geleta's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nigussie Geleta enrolled in Medicare?

Yes. Nigussie Geleta 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 Nigussie Geleta accept?

Health plans from AvMed and CareSource list Nigussie Geleta 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 Nigussie Geleta affiliated with any hospitals?

According to CMS data, Nigussie Geleta is affiliated with Carroll Hospital Center and University Of MD St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Nigussie Geleta was last updated on June 22, 2020. 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.