MESFIN ETANA ABDISSA MD
NPI 1376579417
Internal Medicine in Milwaukee, WI

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6901 W EDGERTON AVE, MILWAUKEE, WI 53220(414) 423-5179 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mesfin Etana Abdissa Md NPPES

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

MESFIN ETANA ABDISSA MD (NPI 1376579417) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (48957) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Ridges Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1376579417
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMESFIN ETANA ABDISSACredential: MD
Location Address6901 W EDGERTON AVEMilwaukee, WI 53220-4420
Mailing Address1000 Devonshire Ln Apt A116, A116Bloomington, MN 55431-5032 · (240) 893-7484
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJune 23, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1376579417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 48957
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.
6901 W EDGERTON AVE, Milwaukee, WI 53220

Other Identifiers 1

Medicaid34871300WI

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

Mesfin Etana Abdissa 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 ID1456363829
PECOS Enrollment IDI20070919000305
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 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 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.
231 services105 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.
154 services77 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.
76 services75 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.
44 services44 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

Hospital Affiliations CMS Care Compare

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

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53220 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

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.

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
3 suppliers28 claims28 services$58.90 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$33.27 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$31.64 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 20

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

Durable Medical Equipment & Medical Supplies
6901 W EDGERTON AVE
MILWAUKEE, WI 53220
Family Medicine
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Nurse Practitioner
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Internal Medicine (Critical Care Medicine)
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Nurse Practitioner
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Internal Medicine
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Pediatrics
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Physician Assistant
6901 W EDGERTON AVE
GREENFIELD, WI 53220

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 Mesfin Abdissa's NPI number?

The NPI number for Mesfin Abdissa is 1376579417. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Mesfin Abdissa located?

Mesfin Abdissa practices at 6901 W Edgerton Ave, Milwaukee, WI 53220. The listed phone number is (414) 423-5179.

What is Mesfin Abdissa's specialty?

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

Is Mesfin Abdissa enrolled in Medicare?

Yes. Mesfin Abdissa 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 Mesfin Abdissa accept?

Health plans from Medica and Sanford Health Plan list Mesfin Abdissa 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 Mesfin Abdissa affiliated with any hospitals?

According to CMS data, Mesfin Abdissa is affiliated with M Health Fairview Ridges Hospital.

When was this NPI record last updated?

The NPPES record for Mesfin Abdissa was last updated on March 7, 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.