BENIAM R GHEBREZGABIHER
NPI 1235805565
Physician Assistant in Rochester, NY

Active since August 17, 2021PECOS EnrolledAccepts Medicare Assignment
80.59/100
CMS Quality Rating
1000 SOUTH AVE, ROCHESTER, NY 14620(585) 473-2200 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2023, Aug 17, 2021 (2 updates tracked since 2021).

About Beniam R Ghebrezgabiher NPPES

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

BENIAM R GHEBREZGABIHER (NPI 1235805565) is an individual physician assistant in Rochester, New York and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235805565
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBENIAM R GHEBREZGABIHER
Location Address1000 SOUTH AVERochester, NY 14620-2733
Mailing Address1000 South AveRochester, NY 14620-2733 · (585) 473-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 17, 2021
Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration
NPPES CertifiedAugust 17, 2021
NPI 1235805565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 27377 (NY)
1000 SOUTH AVE, Rochester, NY 14620

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

Beniam R Ghebrezgabiher 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 ID8527456706
PECOS Enrollment IDI20211020000794
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

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.

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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.9
Promoting Interoperability100
Improvement Activities40
Cost55.03

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.

Pharmacist
1000 SOUTH AVE
ROCHESTER, NY 14620
Dietitian, Registered
1000 SOUTH AVE, BOX 95
ROCHESTER, NY 14620
Obstetrics & Gynecology
1000 SOUTH AVE
ROCHESTER, NY 14620
Dietitian, Registered
1000 SOUTH AVE
ROCHESTER, NY 14620
Nurse Practitioner (Gerontology)
1000 SOUTH AVE
ROCHESTER, NY 14620
Internal Medicine
1000 SOUTH AVE
ROCHESTER, NY 14620
Specialist
1000 SOUTH AVE, # 95
ROCHESTER, NY 14620
Nurse Anesthetist, Certified Registered
1000 SOUTH AVE
ROCHESTER, NY 14620

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 Beniam Ghebrezgabiher's NPI number?

The NPI number for Beniam Ghebrezgabiher is 1235805565. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Where is Beniam Ghebrezgabiher located?

Beniam Ghebrezgabiher practices at 1000 South Ave, Rochester, NY 14620. The listed phone number is (585) 473-2200.

What is Beniam Ghebrezgabiher's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Beniam Ghebrezgabiher enrolled in Medicare?

Yes. Beniam Ghebrezgabiher 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 Beniam Ghebrezgabiher affiliated with any hospitals?

According to CMS data, Beniam Ghebrezgabiher is affiliated with Highland Hospital.

When was this NPI record last updated?

The NPPES record for Beniam Ghebrezgabiher was last updated on July 17, 2023. 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.