DR. TEDROS ANDOM M.D.
NPI 1629160262
Surgery in Springfield, OH

Q: What is Tedros Andom's NPI number?

The NPI number for Tedros Andom is 1629160262. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Tedros Andom's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Tedros Andom was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment

2624 LEXINGTON AVE, SUITE 340, SPRINGFIELD, OH 45505(937) 717-4884 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Dec 11, 2017 (2 updates tracked since 2017).

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About Dr. Tedros Andom M.d. NPPES

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

DR. TEDROS ANDOM M.D. (NPI 1629160262) is an individual surgery provider in Springfield, Ohio, licensed in Ohio (35091693) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Springfield Regional Medical Center, and is a graduate of University Of Louisville School Of Medicine (2003).

NPPES Registry Identity

NPI1629160262

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. TEDROS ANDOMCredential: M.D.

Location Address2624 LEXINGTON AVE, SUITE 340Springfield, OH 45505-2607

Mailing Address2253 Olympic StSpringfield, OH 45503-2736 · (937) 717-4884 · Fax (937) 717-6207

Phone(937) 717-4884

Sole ProprietorYes

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2003

Enumeration DateSeptember 29, 2006

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1629160262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OH · 35091693

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2624 LEXINGTON AVE, Springfield, OH 45505

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Other Identifiers 1

Medicaid2850571OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Dr. Tedros Andom 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 ID4587764287

PECOS Enrollment IDI20080908000395

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.

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.

48 services48 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.

48 services37 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.

26 services21 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.

24 services24 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.

18 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Springfield Regional Medical Center

Acute Care Hospitals · Springfield, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360086

Location100 Medical Center DriveSpringfield, OH 45504 · Clark County

Emergency services Birthing friendly

Ohio Valley Surgical Hospital

Acute Care Hospitals · Springfield, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number360355

Location100 West Main StreetSpringfield, OH 45502 · Clark County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45505 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ERICK L BISHOP

Case Manager/Care Coordinator