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WORKU HAILE
NPI 1679951214
Hospitalist in Council Bluffs, IA

Active since May 15, 2015PECOS EnrolledAccepts Medicare Assignment
800 MERCY DR, COUNCIL BLUFFS, IA 51503(855) 524-4001(712) 325-2499 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 22, 2023, Jul 29, 2021, Dec 3, 2019 and 1 more (4 updates tracked since 2018).

About Worku Haile NPPES

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

WORKU HAILE (NPI 1679951214) is an individual hospitalist provider in Council Bluffs, Iowa, licensed in Iowa (MD-50738) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Chi Health Mercy Council Bluffs, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1679951214
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameWORKU HAILE
Location Address800 MERCY DRCouncil Bluffs, IA 51503-3128
Mailing Address800 Mercy DrCouncil Bluffs, IA 51503-3128 · (855) 524-4001 · Fax (712) 325-2499
Phone(855) 524-4001
Fax(712) 325-2499
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 15, 2015
Last NPPES UpdateFebruary 22, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1679951214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in IA · MD-50738✔ Licensed in MO · 2018023716✔ Licensed in IN · 01083171A✔ Licensed in NE · 34125
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 01083171A (IN)
800 MERCY DR, Council Bluffs, IA 51503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.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

Worku Haile 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 ID9133475650
PECOS Enrollment IDI20180712003013, I20230124001354, I20230124001550
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 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.
749 services276 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.
200 services196 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.
131 services128 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.
68 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
22 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Chi Health Mercy Council Bluffs

Acute Care Hospitals · Council Bluffs, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160028
Location800 Mercy DriveCouncil Bluffs, IA 51503 · Pottawattamie County
Emergency services Birthing friendly

Chi Health Missouri Valley

Critical Access Hospitals · Missouri Valley, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161309
Location631 N 8th StMissouri Valley, IA 51555 · Harrison County
Emergency services

Research Medical Center

Acute Care Hospitals · Kansas City, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260027
Location2316 E Meyer BlvdKansas City, MO 64132 · Jackson County
Emergency services Birthing friendly

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280020
Location555 South 70th StLincoln, NE 68510 · Lancaster County
Emergency services Birthing friendly

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51503 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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%20 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 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
3 suppliers11 claims11 services$18.94 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier24 claims24 services$5.86 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
3 suppliers11 claims11 services$104.17 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.

JENNIFER L ACHENBACH
Nurse Practitioner
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 325-2484
KAYDEN L REILLY PA-C
Physician Assistant
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Pottawattamie County (855) 524-4001
CHRISTOPHER J HOLEWINSKI RP, DO
Hospitalist
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 328-5490
MEGAN N YANK
Emergency Medicine
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 328-5230
BENJAMIN DENICH
Nurse Practitioner (Acute Care)
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 328-5000
EMILY MILES DNP, AGACNP-BC, CCRN
Nurse Practitioner
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Pottawattamie County (855) 524-4001
ALEGENT CREIGHTON CLINIC
Obstetrics & Gynecology
800 MERCY DR, SUITE 210
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 323-9250
TOMMORA A SHAW ARNP
Nurse Practitioner (Adult Health)
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 328-5490

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 Worku Haile's NPI number?

The NPI number for Worku Haile is 1679951214. It was assigned to this individual provider in the NPPES registry on May 15, 2015.

Where is Worku Haile located?

Worku Haile practices at 800 Mercy Dr, Council Bluffs, IA 51503. The listed phone number is (855) 524-4001.

What is Worku Haile's specialty?

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

Is Worku Haile enrolled in Medicare?

Yes. Worku Haile 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 Worku Haile accept?

Health plans from Medica and Oscar Insurance Company list Worku Haile 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 Worku Haile affiliated with any hospitals?

According to CMS data, Worku Haile is affiliated with Chi Health Mercy Council Bluffs, Chi Health Missouri Valley, Research Medical Center, Chi Health St. Elizabeth and Chi Health Bergan Mercy.

When was this NPI record last updated?

The NPPES record for Worku Haile was last updated on February 22, 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.