MELAKU BERHANU TESFAYE M.D.
NPI 1417390527
Hospitalist in Bethesda, MD

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814(301) 796-7500 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 13, 2021, Oct 28, 2019, Mar 1, 2018 (3 updates tracked since 2018).

About Melaku Berhanu Tesfaye M.d. NPPES

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

MELAKU BERHANU TESFAYE M.D. (NPI 1417390527) is an individual hospitalist provider in Bethesda, Maryland, licensed in Maryland (D86571) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Adventist Healthcare Shady Grove Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1417390527
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMELAKU BERHANU TESFAYECredential: M.D.
Location Address8600 OLD GEORGETOWN RDBethesda, MD 20814-1422
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (717) 231-8772 · Fax (717) 231-8435
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 9, 2013
Last NPPES UpdateFebruary 20, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
✔ NPI 1417390527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MD · D86571
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 MD60640210 (WA), MD466731 (PA)
8600 OLD GEORGETOWN RD, Bethesda, MD 20814

Secondary Practice Locations 3

Location 14300 Londonderry RdHarrisburg, PA 17109 · Phone (717) 231-8772 · Fax (717) 231-8435
Location 2112 N 7th StChambersburg, PA 17201-1720 · Phone (717) 217-4300 · Fax (717) 217-4217
Location 3501 E Main StWaynesboro, PA 17268-2353 · Phone (717) 765-4000 · Fax (717) 765-3669

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

Melaku Berhanu Tesfaye 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 ID2466742747
PECOS Enrollment IDI20190628001598, I20190730001174
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.

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.
694 services656 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.
212 services110 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.
64 services64 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.
26 services21 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Adventist Healthcare Shady Grove Medical Center

Acute Care Hospitals · Rockville, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210057
Location9901 Medical Center DriveRockville, MD 20850 · Montgomery County
Emergency services Birthing friendly

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Wellspan Waynesboro Hospital

Acute Care Hospitals · Waynesboro, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390138
Location501 East Main StWaynesboro, PA 17268 · Franklin County
Emergency services

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390151
Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County
Emergency services Birthing friendly

Fulton County Medical Center

Critical Access Hospitals · Mcconnellsburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391303
Location214 Peach Orchard RoadMcconnellsburg, PA 17233 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20814 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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%42 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 5

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

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.70 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$36.62 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.73 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$30.99 avg. paid by Medicare
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910
DME-Other DME · category DE000N
1 supplier11 claims11 services$6.08 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.

Plastic Surgery
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Thoracic Surgery (Cardiothoracic Vascular Surgery)
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Nurse Practitioner (Family)
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
General Acute Care Hospital
8600 OLD GEORGETOWN RD, SUBURBAN HOSPITAL
BETHESDA, MD 20814
Physician Assistant
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Emergency Medicine (Pediatric Emergency Medicine)
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Internal Medicine (Critical Care Medicine)
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Physician Assistant
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814

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 Melaku Tesfaye's NPI number?

The NPI number for Melaku Tesfaye is 1417390527. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Melaku Tesfaye located?

Melaku Tesfaye practices at 8600 Old Georgetown Rd, Bethesda, MD 20814. The listed phone number is (301) 796-7500.

What is Melaku Tesfaye's specialty?

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

Is Melaku Tesfaye enrolled in Medicare?

Yes. Melaku Tesfaye 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 Melaku Tesfaye accept?

Health plans from Molina Healthcare and Providence Health Plan list Melaku Tesfaye 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 Melaku Tesfaye affiliated with any hospitals?

According to CMS data, Melaku Tesfaye is affiliated with Adventist Healthcare Shady Grove Medical Center, Wellspan York Hospital, Wellspan Waynesboro Hospital, Wellspan Chambersburg Hospital and Fulton County Medical Center.

When was this NPI record last updated?

The NPPES record for Melaku Tesfaye was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.