TSEGAYE DANIEL GEBREGIORGIS M.D
NPI 1356731897
Internal Medicine in Williamsburg, VA

Q: What is Tsegaye Gebregiorgis's NPI number?

The NPI number for Tsegaye Gebregiorgis is 1356731897. It was assigned to this individual provider in the NPPES registry on February 4, 2015.

Q: What is Tsegaye Gebregiorgis's specialty?

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

Active since February 04, 2015PECOS EnrolledAccepts Medicare Assignment

95.11/100

CMS Quality Rating

100 SENTARA CIR RM 2C, WILLIAMSBURG, VA 23188(757) 984-7217(757) 984-7210 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2020, Aug 31, 2017 (2 updates tracked since 2017).

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About Tsegaye Daniel Gebregiorgis M.d NPPES

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

TSEGAYE DANIEL GEBREGIORGIS M.D (NPI 1356731897) is an individual internal medicine provider in Williamsburg, Virginia, licensed in Virginia (0101262026) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Sentara Williamsburg Regional Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1356731897

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameTSEGAYE DANIEL GEBREGIORGISCredential: M.D

Location Address100 SENTARA CIR RM 2CWilliamsburg, VA 23188-5713

Mailing Address100 Sentara Cir Rm 2cWilliamsburg, VA 23188-5713 · (757) 984-7217 · Fax (757) 984-7210

Phone(757) 984-7217

Fax(757) 984-7210

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateFebruary 4, 2015

Last NPPES UpdateJune 19, 20202 updates tracked since enumeration

NPPES CertifiedJune 19, 2020

✔ NPI 1356731897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in VA · 0101262026✔ Licensed in OH · 35.131839

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 ListedEmergency MedicineTaxonomy 207P00000X · License 35.131839 (OH)

Also ListedHospitalistTaxonomy 208M00000X · License 0101262026 (VA)

100 SENTARA CIR RM 2C, Williamsburg, VA 23188

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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

Tsegaye Daniel Gebregiorgis 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 ID6507135209

PECOS Enrollment IDI20170914001390

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

Medicare enrollment records show Tsegaye Gebregiorgis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sentara Medical Group

45 mi

Family Medicine

824 N MILITARY HWY STE 100
Norfolk, VA 23502

Reassigned Medicare billing, Virginia enrollment
1,901 clinicians in this Medicare group

NPI 1265485270 (757) 252-2900

Hospitalist Medicine Physicians Of Fredericksburg, LLC

79 mi

Internal Medicine

1001 SAM PERRY BLVD
Fredericksburg, VA 22401

Reassigned Medicare billing, Virginia enrollment
258 clinicians in this Medicare group

NPI 1447577572 (330) 493-4443

Hospitalist Medicine Physicians Of Virginia LLC

150 mi

Internal Medicine

1840 AMHERST ST
Winchester, VA 22601

Reassigned Medicare billing, Virginia enrollment
371 clinicians in this Medicare group

NPI 1770756991 (540) 536-4334

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 5

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 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.

519 services277 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.

224 services220 patients

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.

192 services120 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.

125 services122 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

105 services105 patients

Hospital Affiliations CMS Care Compare

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

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490066

Location100 Sentara CircleWilliamsburg, VA 23188 · James City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23188 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

95.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.31

Promoting Interoperability

100

Improvement Activities

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%99 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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers29 claims29 services$15.28 avg. paid by Medicare

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 suppliers41 claims41 services$69.58 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$30.52 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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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