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TINSAY AMBACHEW WORETA M.D., MPH
NPI 1396948824
Internal Medicine - Gastroenterology in Lubbock, TX

Active since June 11, 2007PECOS Enrolled
3601 4TH ST, LUBBOCK, TX 79430(806) 743-3150(806) 743-3168 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tinsay Ambachew Woreta M.d., Mph NPPES

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

TINSAY AMBACHEW WORETA M.D., MPH (NPI 1396948824) is an individual gastroenterology provider in Lubbock, Texas, licensed in Texas (P6299) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Johns Hopkins University School Of Medicine (2007).

NPPES Registry Identity

NPI1396948824
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameTINSAY AMBACHEW WORETACredential: M.D., MPH
Location Address3601 4TH STLubbock, TX 79430-0002
Mailing AddressPo Box 5865Lubbock, TX 79408-5865 · (806) 743-2898 · Fax (806) 743-2787
Phone(806) 743-3150
Fax(806) 743-3168
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2007
Enumeration DateJune 11, 2007
Last NPPES UpdateApril 18, 2016
✔ NPI 1396948824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · P6299
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License P6299 (TX)
3601 4TH ST, Lubbock, TX 79430
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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 (PECOS)

Tinsay Ambachew Woreta M.d., Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638329709
PECOS Enrollment IDI20130725000099
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

2

Medicare enrollment records show Tinsay Woreta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johns Hopkins University
1,428 mi
Neurological Surgery
8600 OLD GEORGETOWN RD
Bethesda, MD 20814
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
NPI 1578569240 (410) 955-5000
Johns Hopkins University
1,458 mi
Hepatology
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, Maryland enrollment
  • 14 clinicians in this Medicare group
NPI 1063917326 (410) 955-5000

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 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 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.
58 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services41 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.
25 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 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.
13 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79430 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers94 claims13,949 services$0.33 avg. paid by Medicare
Everolimus, oral, 0.25 mg J7527
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims3,960 services$3.99 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.

JAMES STEVEN DEMBOWSKI PHD
Speech-Language Pathologist
3601 4TH ST, STE. 2A300
LUBBOCK, TX 79430
Lubbock County (806) 743-5678
CHARLES KIM D.O.
Anesthesiology
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-3004
BAILEY WADDINGTON MD
Student in an Organized Health Care Education/Training Program
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-6840
SARA SYED AHMED MD
Psychiatry & Neurology (Psychiatry)
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-2800
DR. SAFAA S. LABIB M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3601 4TH ST, SUITE 1A115
LUBBOCK, TX 79430
Lubbock County (806) 743-2155
MATTHEW PAUL FERGUSON M.D.
Orthopaedic Surgery (Sports Medicine)
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-2475
KORY NOEL HOWELL DO
Student in an Organized Health Care Education/Training Program
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-3381
JANICE STACHOWIAK M.D.
Internal Medicine
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-3150

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 Tinsay Woreta's NPI number?

The NPI number for Tinsay Woreta is 1396948824. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Tinsay Woreta located?

Tinsay Woreta practices at 3601 4th St, Lubbock, TX 79430. The listed phone number is (806) 743-3150.

What is Tinsay Woreta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Tinsay Woreta enrolled in Medicare?

Yes. Tinsay Woreta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tinsay Woreta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tinsay Woreta reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Bethesda, MD) and Johns Hopkins University (Baltimore, MD). 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 Tinsay Woreta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tinsay Woreta affiliated with any hospitals?

According to CMS data, Tinsay Woreta is affiliated with Johns Hopkins Hospital, The and Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Tinsay Woreta was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.