DR. TIBEBU TSEHAY TEFERA M.D
NPI 1801025788
Hospitalist in Rome, GA
About Dr. Tibebu Tsehay Tefera M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIBEBU TSEHAY TEFERA M.D (NPI 1801025788) is an individual hospitalist provider in Rome, Georgia, licensed in Georgia (067810) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Marietta.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Tibebu Tsehay Tefera 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tibebu Tefera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cartersville, GA 30121
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, Georgia enrollment
- 777 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar Kennestone Regional Medical Center
Acute Care Hospitals · Marietta, GAWellstar Cobb Medical Center
Acute Care Hospitals · Austell, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30165 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROME, GA 30165
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 Tibebu Tefera's NPI number?
The NPI number for Tibebu Tefera is 1801025788. It was assigned to this individual provider in the NPPES registry on July 13, 2009.
Where is Tibebu Tefera located?
Tibebu Tefera practices at 501 Redmond Rd, Rome, GA 30165. The listed phone number is (706) 368-8452.
What is Tibebu Tefera's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Tibebu Tefera enrolled in Medicare?
Yes. Tibebu Tefera 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.
Which organizations bill Medicare for Tibebu Tefera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tibebu Tefera reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Cartersville, GA) and Hospital Physician Services - Southeast Professional Corporation (Monroe, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tibebu Tefera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tibebu Tefera accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Tibebu Tefera 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 Tibebu Tefera affiliated with any hospitals?
According to CMS data, Tibebu Tefera is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center.
When was this NPI record last updated?
The NPPES record for Tibebu Tefera was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Tibebu Tsehay Tefera, M.D · NPI 1801025788
Hospitalist physician in Rome, Georgia. Individual provider, active in the CMS NPPES registry since July 13, 2009.
## Identity
- **NPI:** 1801025788 (Entity type: Individual)
- **Enumerated:** July 13, 2009
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 067810 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 REDMOND RD, Rome, GA 30165
- **Phone:** (706) 368-8452 · **Fax:** (706) 368-8453
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wellstar Medical Group, LLC (NPI 1588059653, Cartersville, GA); Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** September 30, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1801025788) · Data from the CMS NPPES public registry.