BINYAM GEBREMEDHIN MD
NPI 1396150926
Hospitalist in Marion, OH

Active since June 23, 2014PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
1000 MCKINLEY PARK DR, MARION, OH 43302(614) 566-8883(614) 566-8149 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 25, 2022, Nov 18, 2020, Oct 27, 2017 (3 updates tracked since 2017).

About Binyam Gebremedhin Md NPPES

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

BINYAM GEBREMEDHIN MD (NPI 1396150926) is an individual hospitalist provider in Marion, Ohio, licensed in Ohio (35.130410) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains a secondary practice location in Huntington.

NPPES Registry Identity

NPI1396150926
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBINYAM GEBREMEDHINCredential: MD
Location Address1000 MCKINLEY PARK DRMarion, OH 43302-6399
Mailing Address5450 Frantz Rd Ste 360Dublin, OH 43016-4141 · (614) 566-8883 · Fax (614) 566-8149
Fax(614) 566-8149
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 23, 2014
Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
NPI 1396150926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in OH · 35.130410
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.130410 (OH)
1000 MCKINLEY PARK DR, Marion, OH 43302

Secondary Practice Location 1

Location 11249 15th St, Suite 2000Huntington, WV 25701-3662 · Phone (304) 691-1000 · Fax (304) 691-1693

Other Identifiers 2

Medicaid0234763OH
OtherH605432OH · Medicare Ohio

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

Binyam Gebremedhin 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 ID4587883111
PECOS Enrollment IDI20170913001931
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 4

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.
423 services152 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.
102 services95 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.
88 services86 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Morrow County Hospital

Critical Access Hospitals · Mount Gilead, OH
OwnershipGovernment - Local
CMS Certification Number361313
Location651 West Marion RoadMount Gilead, OH 43338 · Morrow County
Emergency services

Hardin Memorial Hospital

Critical Access Hospitals · Kenton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361315
Location921 East Franklin StreetKenton, OH 43326 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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…
60%161 patients3/55-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.

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.

Nurse Practitioner (Acute Care)
1000 MCKINLEY PARK DR
MARION, OH 43302
Nurse Practitioner
1000 MCKINLEY PARK DR
MARION, OH 43302
Physician Assistant
1000 MCKINLEY PARK DR
MARION, OH 43302
Dietitian, Registered
1000 MCKINLEY PARK DR
MARION, OH 43302
Physician Assistant
1000 MCKINLEY PARK DR
MARION, OH 43302
Hospitalist
1000 MCKINLEY PARK DR
MARION, OH 43302
Dietitian, Registered
1000 MCKINLEY PARK DR
MARION, OH 43302
Emergency Medicine
1000 MCKINLEY PARK DR
MARION, OH 43302

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 Binyam Gebremedhin's NPI number?

The NPI number for Binyam Gebremedhin is 1396150926. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Binyam Gebremedhin located?

Binyam Gebremedhin practices at 1000 Mckinley Park Dr, Marion, OH 43302. The listed phone number is (614) 566-8883.

What is Binyam Gebremedhin's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Binyam Gebremedhin enrolled in Medicare?

Yes. Binyam Gebremedhin 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 Binyam Gebremedhin accept?

Health plans from CareSource and MedMutual list Binyam Gebremedhin 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 Binyam Gebremedhin affiliated with any hospitals?

According to CMS data, Binyam Gebremedhin is affiliated with Riverside Methodist Hospital, Marion General Hospital, Morrow County Hospital and Hardin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Binyam Gebremedhin was last updated on January 25, 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.