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DR. HABTU MEGENTA ADERA M.D.
NPI 1609897719
Family Medicine in Inverness, FL

Active since July 22, 2006PECOS EnrolledAccepts Medicare Assignment
227 ELLA AVE, INVERNESS, FL 34450(352) 341-2800(352) 341-2900 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, May 10, 2016 (2 updates tracked since 2016).

About Dr. Habtu Megenta Adera M.d. NPPES

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

DR. HABTU MEGENTA ADERA M.D. (NPI 1609897719) is an individual family medicine provider in Inverness, Florida, licensed in Florida (ME89713) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Marion Communtiy Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1609897719
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HABTU MEGENTA ADERACredential: M.D.
Location Address227 ELLA AVEInverness, FL 34450-3911
Mailing Address227 Ella AveInverness, FL 34450-3911 · (352) 341-2800 · Fax (352) 341-2900
Phone(352) 341-2800
Fax(352) 341-2900
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 22, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1609897719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME89713
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
227 ELLA AVE, Inverness, FL 34450
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Other Identifiers 4

Other50314FL · Bcbs
Other370125FL · He
Medicaid276402400FL
Other5935028431021FL · Tricare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

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

Dr. Habtu Megenta Adera 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 ID8820066988
PECOS Enrollment IDI20040917000352
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

3

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

Adera & Adera PA
Same address
Family Medicine
227 ELLA AVE
Inverness, FL 34450
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1225277700 (352) 341-2800
Sheridan Emergency Physician Services Inc
18 mi
Emergency Medicine
950 N MAIN ST
Bushnell, FL 33513
  • Reassigned Medicare billing, Florida enrollment
  • 181 clinicians in this Medicare group
NPI 1326619727 (973) 251-1132
Emergency Medicine Services Of Fl, LLC
239 mi
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
NPI 1043917180 (305) 682-7000

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 11

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
345 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
264 services141 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
108 services100 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
84 services67 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
77 services53 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.
43 services43 patients

Hospital Affiliations CMS Care Compare

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

Marion Communtiy Hospital

Acute Care Hospitals · Ocala, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100212
Location1431 SW 1st AveOcala, FL 34471 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34450 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%37 patients
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 2

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

ADERA & ADERA PA
Family Medicine
227 ELLA AVE
INVERNESS, FL 34450
Citrus County (352) 341-2800
JILL PERNIGOTTI ADERA D.O
Family Medicine
227 ELLA AVE
INVERNESS, FL 34450
Citrus County (352) 341-2800

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 Habtu Adera's NPI number?

The NPI number for Habtu Adera is 1609897719. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Habtu Adera located?

Habtu Adera practices at 227 Ella Ave, Inverness, FL 34450. The listed phone number is (352) 341-2800.

What is Habtu Adera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Habtu Adera enrolled in Medicare?

Yes. Habtu Adera 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.

Which organizations bill Medicare for Habtu Adera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Habtu Adera reassigns Medicare benefits to 3 organizations: Adera & Adera PA (Inverness, FL), Sheridan Emergency Physician Services Inc (Bushnell, FL) and Emergency Medicine Services Of Fl, LLC (Aventura, FL). 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 Habtu Adera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Habtu Adera accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Habtu Adera 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 Habtu Adera affiliated with any hospitals?

According to CMS data, Habtu Adera is affiliated with Marion Communtiy Hospital.

When was this NPI record last updated?

The NPPES record for Habtu Adera 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.