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DR. SINETSEHAY C TEMESGEN MD
NPI 1215590484
Hospitalist in Atlanta, GA

Active since April 15, 2019PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
303 PARKWAY DR NE, ATLANTA, GA 30312(404) 265-4919 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2022, Apr 15, 2019 (2 updates tracked since 2019).

About Dr. Sinetsehay C Temesgen Md NPPES

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

DR. SINETSEHAY C TEMESGEN MD (NPI 1215590484) is an individual hospitalist provider in Atlanta, Georgia, licensed in Georgia (92569) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1215590484
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. SINETSEHAY C TEMESGENCredential: MD
Location Address303 PARKWAY DR NEAtlanta, GA 30312-1212
Mailing Address303 Parkway Dr NeAtlanta, GA 30312-1212 · (404) 265-4919
Phone(404) 265-4919
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 15, 2019
Last NPPES UpdateSeptember 19, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1215590484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 92569
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
303 PARKWAY DR NE, Atlanta, GA 30312
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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. Sinetsehay C Temesgen 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 ID2264808005
PECOS Enrollment IDI20221019000053
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 4

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.
276 services117 patients
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.
76 services39 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.
38 services38 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.
37 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30312 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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

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.

DR. PIA MAGDALENA RAMO MENDOZA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
303 PARKWAY DR NE
ATLANTA, GA 30312
Fulton County (404) 265-4115
SAVANNAH ELIZABETH EICHHORN
Student in an Organized Health Care Education/Training Program
303 PARKWAY DR NE
ATLANTA, GA 30312
Fulton County (404) 265-4627
DR. ALEXANDR BABAYEUSKI MD
Internal Medicine
303 PARKWAY DR NE, GME-INTERNAL MEDICINE
ATLANTA, GA 30312
Fulton County (404) 265-4919
DR. BIRUK TASSEW MENGISTU MD
Internal Medicine
303 PARKWAY DR NE
ATLANTA, GA 30312
Fulton County (404) 265-4919
MR. GREGORY C. DAVIS PA
Physician Assistant
303 PARKWAY DR NE, ER DEPT
ATLANTA, GA 30312
Fulton County (404) 265-4136
DR. JANA BECKETT SMITH M.D.
Emergency Medicine
303 PARKWAY DR NE
ATLANTA, GA 30312
Fulton County (404) 265-4136
ROBERT HINTON PA
Anesthesiologist Assistant
303 PARKWAY DR NE, PMB 404
ATLANTA, GA 30312
Fulton County (404) 265-4520
AZZA ELAMIN M.D
Student in an Organized Health Care Education/Training Program
303 PARKWAY DR NE
ATLANTA, GA 30312
Fulton County (470) 819-1247

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 Sinetsehay Temesgen's NPI number?

The NPI number for Sinetsehay Temesgen is 1215590484. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Sinetsehay Temesgen located?

Sinetsehay Temesgen practices at 303 Parkway Dr NE, Atlanta, GA 30312. The listed phone number is (404) 265-4919.

What is Sinetsehay Temesgen's specialty?

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

Is Sinetsehay Temesgen enrolled in Medicare?

Yes. Sinetsehay Temesgen 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 Sinetsehay Temesgen affiliated with any hospitals?

According to CMS data, Sinetsehay Temesgen is affiliated with Northside Hospital Gwinnett and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Sinetsehay Temesgen was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.