MR. MEDHANIE KIFLE KIFLE PA-C
NPI 1346685807
Physician Assistant in Newark, OH

Active since May 09, 2013PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
1320 W MAIN ST, NEWARK, OH 43055(740) 348-4137(740) 348-4119 Get Directions Write a Review

NPPES record last updated: February 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Medhanie Kifle Kifle Pa-c NPPES

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

MR. MEDHANIE KIFLE KIFLE PA-C (NPI 1346685807) is an individual physician assistant in Newark, Ohio, licensed in New Mexico (PA2017-0013) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1346685807
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MEDHANIE KIFLE KIFLECredential: PA-C
Location Address1320 W MAIN STNewark, OH 43055
Mailing AddressPo Box 26666, Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770
Fax(740) 348-4119
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 9, 2013
Last NPPES UpdateFebruary 21, 2019
NPI 1346685807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NM · PA2017-0013 Licensed in OH · 003744
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.
1320 W MAIN ST, Newark, OH 43055

Accepted 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

Mr. Medhanie Kifle Kifle Pa-c 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 ID3779702774
PECOS Enrollment IDI20170508000524
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 6

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.
77 services45 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.
61 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services22 patients
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.
13 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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.

Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Pharmacist
1320 W MAIN ST
NEWARK, OH 43055
Pharmacist (Emergency Medicine)
1320 W MAIN ST
NEWARK, OH 43055
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1320 W MAIN ST
NEWARK, OH 43055
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Nurse Practitioner (Neonatal)
1320 W MAIN ST
NEWARK, OH 43055

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 Medhanie Kifle's NPI number?

The NPI number for Medhanie Kifle is 1346685807. It was assigned to this individual provider in the NPPES registry on May 9, 2013.

Where is Medhanie Kifle located?

Medhanie Kifle practices at 1320 W Main St, Newark, OH 43055. The listed phone number is (740) 348-4137.

What is Medhanie Kifle's specialty?

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

Is Medhanie Kifle enrolled in Medicare?

Yes. Medhanie Kifle 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 Medhanie Kifle accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and UnitedHealthcare list Medhanie Kifle 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 Medhanie Kifle affiliated with any hospitals?

According to CMS data, Medhanie Kifle is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Medhanie Kifle was last updated on February 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.