DR. WONDWOSSEN YILMA DERERIE M.D.
NPI 1760793897
Internal Medicine in Suffolk, VA

Active since June 23, 2010PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
2800 GODWIN BLVD, SUFFOLK, VA 23434(757) 934-4000 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2021, Jan 28, 2016 (2 updates tracked since 2016).

About Dr. Wondwossen Yilma Dererie M.d. NPPES

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

DR. WONDWOSSEN YILMA DERERIE M.D. (NPI 1760793897) is an individual internal medicine provider in Suffolk, Virginia, licensed in Virginia (0101254930) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1760793897
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. WONDWOSSEN YILMA DERERIECredential: M.D.
Location Address2800 GODWIN BLVDSuffolk, VA 23434-8038
Mailing Address5102 Windbreak DrFredericksburg, VA 22407-9323 · (857) 998-8902
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJune 23, 2010
Last NPPES UpdateOctober 4, 20212 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
NPI 1760793897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in VA · 0101254930 Licensed in OH · 35.130138
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.
2800 GODWIN BLVD, Suffolk, VA 23434

Accepted 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. Wondwossen Yilma Dererie 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 ID4981831328
PECOS Enrollment IDI20170206002690
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.
429 services166 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.
116 services111 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
59 services55 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.
36 services36 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.
27 services14 patients

Hospital Affiliations CMS Care Compare

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

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23434 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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

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…
98%326 patients4/55-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 2

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 suppliers47 claims47 services$15.88 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
6 suppliers46 claims46 services$79.01 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.

Clinical Nurse Specialist (Gerontology)
2800 GODWIN BLVD
SUFFOLK, VA 23434
Hospitalist
2800 GODWIN BLVD, 1ST FLR
SUFFOLK, VA 23434
Nurse Anesthetist, Certified Registered
2800 GODWIN BLVD
SUFFOLK, VA 23434
Registered Nurse
2800 GODWIN BLVD
SUFFOLK, VA 23434
Psychiatric Unit
2800 GODWIN BLVD
SUFFOLK, VA 23434
Internal Medicine
2800 GODWIN BLVD
SUFFOLK, VA 23434
Dietitian, Registered
2800 GODWIN BLVD
SUFFOLK, VA 23434
Specialist/Technologist, Other (Surgical Assistant)
2800 GODWIN BLVD
SUFFOLK, VA 23434

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 Wondwossen Dererie's NPI number?

The NPI number for Wondwossen Dererie is 1760793897. It was assigned to this individual provider in the NPPES registry on June 23, 2010.

Where is Wondwossen Dererie located?

Wondwossen Dererie practices at 2800 Godwin Blvd, Suffolk, VA 23434. The listed phone number is (757) 934-4000.

What is Wondwossen Dererie's specialty?

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

Is Wondwossen Dererie enrolled in Medicare?

Yes. Wondwossen Dererie 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 Wondwossen Dererie accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Wondwossen Dererie 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 Wondwossen Dererie affiliated with any hospitals?

According to CMS data, Wondwossen Dererie is affiliated with Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Wondwossen Dererie was last updated on October 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.