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DR. WOLDECHERKOS ABEBE SHIBESHI M.D.
NPI 1669639282
Internal Medicine in Winchester, VA

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
1840 AMHERST ST OFC, WINCHESTER, VA 22601(540) 536-4334(540) 536-4333 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2022, Nov 11, 2020 (2 updates tracked since 2020).

About Dr. Woldecherkos Abebe Shibeshi M.d. NPPES

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

DR. WOLDECHERKOS ABEBE SHIBESHI M.D. (NPI 1669639282) is an individual internal medicine provider in Winchester, Virginia, licensed in Virginia (0101257884) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669639282
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. WOLDECHERKOS ABEBE SHIBESHICredential: M.D.
Location Address1840 AMHERST ST OFCWinchester, VA 22601-2808
Mailing Address1840 Amherst St OfcWinchester, VA 22601-2808 · (540) 536-4334 · Fax (540) 536-4333
Phone(540) 536-4334
Fax(540) 536-4333
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 21, 2008
Last NPPES UpdateDecember 13, 20222 updates tracked since enumeration
NPPES CertifiedNovember 11, 2020
✔ NPI 1669639282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in VA · 0101257884✔ Licensed in NE · 25315
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1840 AMHERST ST OFC, Winchester, VA 22601
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Secondary Practice Locations 2

Location 1601 W Leota St, Inpatient PhysiciansNorth Platte, NE 69101-6525 · Phone (308) 696-8000 ext. 8796
Location 244045 Riverside PkwyLeesburg, VA 20176-5101 · Phone (703) 858-6000 · Fax (703) 858-6900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Woldecherkos Abebe Shibeshi 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 ID4183760010
PECOS Enrollment IDI20151001000587, I20160901002196
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.

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.
480 services241 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.
413 services234 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.
241 services235 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
32 services14 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.
28 services28 patients

Hospital Affiliations CMS Care Compare 4

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511311
Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
7 suppliers45 claims45 services$18.52 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers11 claims11 services$30.43 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
8 suppliers49 claims49 services$99.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Woldecherkos Shibeshi's NPI number?

The NPI number for Woldecherkos Shibeshi is 1669639282. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Woldecherkos Shibeshi located?

Woldecherkos Shibeshi practices at 1840 Amherst St Ofc, Winchester, VA 22601. The listed phone number is (540) 536-4334.

What is Woldecherkos Shibeshi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Woldecherkos Shibeshi enrolled in Medicare?

Yes. Woldecherkos Shibeshi 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 Woldecherkos Shibeshi accept?

Health plans from CareSource list Woldecherkos Shibeshi 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 Woldecherkos Shibeshi affiliated with any hospitals?

According to CMS data, Woldecherkos Shibeshi is affiliated with Winchester Medical Center, Inova Loudoun Hospital, Inova Fairfax Hospital and Hampshire Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Woldecherkos Shibeshi was last updated on December 13, 2022. 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.