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DR. TIGIST W ADUGNA M.D
NPI 1245659739
Internal Medicine in New Castle, IN

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment
1000 N 16TH ST, NEW CASTLE, IN 47362(765) 521-0890(765) 521-1555 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2022, Jan 18, 2021, Mar 27, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Tigist W Adugna M.d NPPES

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

DR. TIGIST W ADUGNA M.D (NPI 1245659739) is an individual internal medicine provider in New Castle, Indiana, licensed in Indiana (01077794A) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and maintains a secondary practice location in New Castle.

NPPES Registry Identity

NPI1245659739
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. TIGIST W ADUGNACredential: M.D
Location Address1000 N 16TH STNew Castle, IN 47362-4319
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(765) 521-0890
Fax(765) 521-1555
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 10, 2014
Last NPPES UpdateNovember 4, 20224 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
✔ NPI 1245659739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01077794A
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.
Also ListedHospitalistTaxonomy 208M00000X · License 01077794A (IN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1000 N 16TH ST, New Castle, IN 47362
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Secondary Practice Location 1

Location 11000 N 16th StNew Castle, IN 47362-4319 · Phone (765) 521-0890 · Fax (765) 521-1555

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tigist W Adugna 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 ID1355568940
PECOS Enrollment IDI20170316000788
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Tigist Adugna reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Indiana University Health Ball Memorial Physicians, Inc.
17 mi
Family Medicine
1420 S PILGRIM BLVD
Yorktown, IN 47396
  • Reassigned Medicare billing, Indiana enrollment
  • 635 clinicians in this Medicare group
NPI 1710206990 (765) 759-4068
Iu Health Medical Group, LLC
44 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000
Sound Physicians Of Indiana, LLC
113 mi
Hospitalist
1606 N 7TH ST
Terre Haute, IN 47804
  • Reassigned Medicare billing, Indiana enrollment
  • 384 clinicians in this Medicare group
NPI 1184063257 (812) 238-7000
Hospitalist Medicine Physicians Of Indiana, LLC
280 mi
Internal Medicine
120 BRENTWOOD COMMONS WAY STE 510
Brentwood, TN 37027
  • Reassigned Medicare billing, Indiana enrollment
  • 218 clinicians in this Medicare group
NPI 1720416555 (253) 682-6040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
145 services140 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.
21 services21 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.
18 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Henry County Memorial Hospital

Acute Care Hospitals · New Castle, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150030
Location1000 N 16th StNew Castle, IN 47362 · Henry County
Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47362 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

HENRY COUNTY PATHOLOGY SERVICES, PC
Pathology (Anatomic Pathology & Clinical Pathology)
1000 N 16TH ST
NEW CASTLE, IN 47362
Henry County (765) 521-1154
MRS. ANGELA SUE FORNKOHL BLUM M.D.
Pediatrics
1000 N 16TH ST, SUITE G-10
NEW CASTLE, IN 47362
Henry County (765) 521-0901
MATTHEW STEVEN HINSHAW PA-C
Physician Assistant (Medical)
1000 N 16TH ST
NEW CASTLE, IN 47362
Henry County (765) 521-0890
TRACY LYNN FROST OTA
Occupational Therapy Assistant
1000 N 16TH ST
NEW CASTLE, IN 47362
Henry County (765) 521-1449
TYLER J CALLAHAN DO
Family Medicine
1000 N 16TH ST
NEW CASTLE, IN 47362
Henry County (765) 599-3177
MS. DEBORAH LYNN PERKINS NP
Nurse Practitioner (Adult Health)
1000 N 16TH ST
NEW CASTLE, IN 47362
Henry County (765) 599-3177
JENNIFER KAY SPRAKER PA
Physician Assistant
1000 N 16TH ST
NEW CASTLE, IN 47362
Henry County (765) 521-0890
DONALD JOSEPH MILLER DO
Pediatrics
1000 N 16TH ST
NEW CASTLE, IN 47362
Henry County (765) 599-3177

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 Tigist Adugna's NPI number?

The NPI number for Tigist Adugna is 1245659739. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Tigist Adugna located?

Tigist Adugna practices at 1000 N 16th St, New Castle, IN 47362. The listed phone number is (765) 521-0890.

What is Tigist Adugna's specialty?

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

Is Tigist Adugna enrolled in Medicare?

Yes. Tigist Adugna 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.

Which organizations bill Medicare for Tigist Adugna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tigist Adugna reassigns Medicare benefits to 4 organizations: Indiana University Health Ball Memorial Physicians, Inc. (Yorktown, IN), Iu Health Medical Group, LLC (Indianapolis, IN), Sound Physicians Of Indiana, LLC (Terre Haute, IN) and Hospitalist Medicine Physicians Of Indiana, LLC (Brentwood, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tigist Adugna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tigist Adugna accept?

Health plans from CareSource and Cigna Healthcare list Tigist Adugna 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 Tigist Adugna affiliated with any hospitals?

According to CMS data, Tigist Adugna is affiliated with Marion General Hospital, Henry County Memorial Hospital and Indiana University Health Ball Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tigist Adugna was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.