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MESFIN TAYE ABERA M.D.
NPI 1972852390
Internal Medicine in Beaver Dam, WI

Active since August 30, 2012PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916(920) 887-7181(920) 887-6833 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 27, 2026, Jun 2, 2025, Apr 1, 2025 and 1 more (4 updates tracked since 2018).

About Mesfin Taye Abera M.d. NPPES

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

MESFIN TAYE ABERA M.D. (NPI 1972852390) is an individual internal medicine provider in Beaver Dam, Wisconsin, licensed in Wisconsin (13268) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Aberdeen, and maintains a secondary practice location in Aberdeen.

NPPES Registry Identity

NPI1972852390
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMESFIN TAYE ABERACredential: M.D.
Location Address707 S UNIVERSITY AVEBeaver Dam, WI 53916-3027
Mailing AddressMarshfield Clinic, 1000 N Oak AvenueMarshfield, WI 54449-5703 · (715) 387-5511
Phone(920) 887-7181
Fax(920) 887-6833
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 30, 2012
Last NPPES UpdateMarch 27, 20264 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1972852390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in WI · 13268✔ Licensed in SD · 9554
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.
707 S UNIVERSITY AVE, Beaver Dam, WI 53916
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Secondary Practice Location 1

Location 13015 3rd Ave SEAberdeen, SD 57401 · Phone (605) 725-1783 · Fax (605) 725-1761

Accepted Insurance

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

Mesfin Taye Abera 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 ID1658511688
PECOS Enrollment IDI20250402003086
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Mesfin Abera reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beaver Dam Community Hospitals Inc
Same address
Clinic/Center
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
NPI 1972188555 (920) 887-7181
Mchs Hospitals, Inc.
77 mi
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
NPI 1386249894 (715) 342-0290
Marshfield Clinic Inc
107 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511
Memorial Hospital, Inc
116 mi
Clinical Medical Laboratory
216 SUNSET PL, MEMORIAL HOSPITAL, INC
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,283 clinicians in this Medicare group
NPI 1679746747 (715) 743-3101
Flambeau Hospital Inc
188 mi
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
NPI 1194317966 (715) 762-2484
Lakeview Medical Center Inc Of Rice Lake
189 mi
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
NPI 1659008605 (715) 924-2000

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 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.

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.
350 services221 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
114 services30 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.
40 services33 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
40 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Medical Center Aberdeen

Acute Care Hospitals · Aberdeen, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430097
Location2905 3rd Ave SEAberdeen, SD 57402 · Brown County
Emergency services Birthing friendly

Marshfield Medical Center - Beaver Dam (mmc-Bd)

Acute Care Hospitals · Beaver Dam, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520076
Location707 S University AveBeaver Dam, WI 53916 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53916 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

Referred Medical Equipment & Supplies CMS DME claims 21

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers105 claims192 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers27 claims27 services$0.89 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers13 claims2,966 services$4.68 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers55 claims55 services$44.42 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers26 claims26 services$118.08 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers29 claims64 services$41.79 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.

BEAVER DAM COMMUNITY HOSPITALS INC
General Acute Care Hospital
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 887-7181
PAIGE SMITHBACK
Physician Assistant
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 887-6606
DR. LUCIA ZDRAZILOVA MD
Anesthesiology
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 887-5975
TIA MATHWICH PT
Physical Therapist
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 887-7181
MRS. LYNDA K VIELBIG CRNA
Nurse Anesthetist, Certified Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 887-4020
DR. PATRICK A LEONBERGER D.O.
Internal Medicine
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (314) 517-8214
MRS. TERESA MARY HILL RD
Dietitian, Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 887-6609
AIMEE E SCHNEIDER CRNA
Nurse Anesthetist, Certified Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dodge County (920) 887-7181

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 Mesfin Abera's NPI number?

The NPI number for Mesfin Abera is 1972852390. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Mesfin Abera located?

Mesfin Abera practices at 707 S University Ave, Beaver Dam, WI 53916. The listed phone number is (920) 887-7181.

What is Mesfin Abera's specialty?

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

Is Mesfin Abera enrolled in Medicare?

Yes. Mesfin Abera 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 Mesfin Abera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mesfin Abera reassigns Medicare benefits to 6 organizations: Beaver Dam Community Hospitals Inc (Beaver Dam, WI), Mchs Hospitals, Inc. (Plover, WI), Marshfield Clinic Inc (Marshfield, WI), Memorial Hospital, Inc (Neillsville, WI), Flambeau Hospital Inc (Park Falls, WI) and 1 more organization, listed in the Medicare section above. 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 Mesfin Abera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mesfin Abera accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Network Health, Quartz and Sanford Health Plan and 1 other insurer list Mesfin Abera 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 Mesfin Abera affiliated with any hospitals?

According to CMS data, Mesfin Abera is affiliated with Sanford Medical Center Aberdeen and Marshfield Medical Center - Beaver Dam (mmc-Bd).

When was this NPI record last updated?

The NPPES record for Mesfin Abera was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.