BENYAM D ADDISSIE MD
NPI 1619262854
Internal Medicine - Gastroenterology in Danville, PA

Active since June 16, 2011PECOS EnrolledAccepts Medicare Assignment
100 NORTH ACADEMY AVE, DANVILLE, PA 17822(570) 271-6439(570) 271-6852 Get Directions Write a Review

NPPES record last updated: August 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2020, Oct 3, 2018, Aug 27, 2018 (3 updates tracked since 2018).

About Benyam D Addissie Md NPPES

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

BENYAM D ADDISSIE MD (NPI 1619262854) is an individual gastroenterology provider in Danville, Pennsylvania, licensed in Minnesota (55198) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Meharry Medical College School Of Medicine (2011).

NPPES Registry Identity

NPI1619262854
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameBENYAM D ADDISSIECredential: MD
Location Address100 NORTH ACADEMY AVEDanville, PA 17822-2111
Mailing Address100 North Academy AveDanville, PA 17822-4903 · (570) 214-5681 · Fax (570) 271-6578
Fax(570) 271-6852
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2011
Enumeration DateJune 16, 2011
Last NPPES UpdateAugust 30, 20203 updates tracked since enumeration
NPPES CertifiedAugust 30, 2020
NPI 1619262854 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 MN · 55198
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 55198 (MN)
100 NORTH ACADEMY AVE, Danville, PA 17822

Other Identifiers 1

OtherP01165806MN · Railroad Medicare

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

Benyam D Addissie 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 ID2062668882
PECOS Enrollment IDI20241001003853
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 8

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.
69 services24 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.
64 services61 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.
32 services14 patients
Measurement of liver stiffness 91200
Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.
27 services27 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
16 services16 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17822 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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
2 suppliers15 claims1,980 services$0.27 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$15.76 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.

Pharmacist
100 NORTH ACADEMY AVE
DANVILLE, PA 17822
Anesthesiology
100 NORTH ACADEMY AVE
DANVILLE, PA 17822
Surgery (Plastic and Reconstructive Surgery)
100 NORTH ACADEMY AVE
DANVILLE, PA 17822
Internal Medicine
100 NORTH ACADEMY AVE
DANVILLE, PA 17822
Radiology (Diagnostic Radiology)
100 NORTH ACADEMY AVE
DANVILLE, PA 17822
Internal Medicine (Gastroenterology)
100 NORTH ACADEMY AVE
DANVILLE, PA 17822
Pathology (Clinical Pathology/Laboratory Medicine)
100 NORTH ACADEMY AVE
DANVILLE, PA 17822
Nurse Practitioner
100 NORTH ACADEMY AVE
DANVILLE, PA 17822

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 Benyam Addissie's NPI number?

The NPI number for Benyam Addissie is 1619262854. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Where is Benyam Addissie located?

Benyam Addissie practices at 100 North Academy Ave, Danville, PA 17822. The listed phone number is (570) 271-6439.

What is Benyam Addissie's specialty?

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

Is Benyam Addissie enrolled in Medicare?

Yes. Benyam Addissie 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.

Is Benyam Addissie affiliated with any hospitals?

According to CMS data, Benyam Addissie is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Benyam Addissie was last updated on August 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.