Active NPI 1255336962 Individual Practitioner Female Practitioner

Dr. Tsion Berhane , MD

Surgery • Silver Spring, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tsion Berhane, MD is a certified Surgery practicing in Silver Spring, MD. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Berhane delivers high-quality medical care to the local community at 604 MISSION HILLS CT.

Dr. Berhane is affiliated with Dimensions Healthcare Associates, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, first, critical care, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

604 Mission Hills Ct

Silver Spring, MD 209058020

Telephone 4109975944

Fax 4434453392

Associated Practice Facility / Clinic

🏢 Dr. Tsion Berhane Facility NPI 1851626428

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Silver Spring, MD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +13.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

16 Specialists

Practicing in Silver Spring, MD (717 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Berhane (38 Years) 38 Yrs

Silver Spring Specialty Average (24.5 Years) 24.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	62	60	$653.00	$223.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	57	57	$658.68	$235.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	19	19	$687.58	$237.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	91	91	$678.73	$241.79
99292 Critical care, each additional 30 minutes	23	21	$282.13	$119.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	237	220	$496.28	$244.50
99292 Critical care, each additional 30 minutes	134	116	$238.03	$122.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	33	$198.03	$112.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	27	$134.36	$79.13
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	19	19	$328.37	$97.08
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	12	12	$320.00	$160.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	216	210	$565.39	$238.05
99292 Critical care, each additional 30 minutes	173	135	$256.09	$119.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	30	$208.28	$79.75
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	23	23	$668.22	$94.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	18	$254.83	$108.84
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$253.82	$102.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	208	188	$538.51	$235.62
99292 Critical care, each additional 30 minutes	100	73	$261.60	$118.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	29	$217.90	$79.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	16	$107.75	$42.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	16	$270.75	$112.02
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	15	15	$321.13	$152.94
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	15	14	$432.87	$107.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	353	279	$644.39	$237.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	179	110	$215.26	$78.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	117	68	$313.29	$113.34
99292 Critical care, each additional 30 minutes	60	46	$279.99	$119.14
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	33	$121.65	$43.01
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$325.00	$111.93
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	14	14	$385.19	$130.44
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	14	14	$311.50	$152.00

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MD D0055703

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Surgical Critical Care

NUCC Taxonomy Code: 2086S0102X

State License MD D0055703

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003501700 (MD)

Commercial Insurance / Payer ID Mamsi Gen'l Surgery

GS3108342 (MD)

Commercial Insurance / Payer ID Mamsi Critical Care

CC2108342 (MD)

Hospital & Practice Group Affiliations

Dimensions Healthcare Associates, Inc

3001 Hospital Dr, Cheverly, MD 207851189

Phone: 4129375743

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Florence Freund , PA-C

Physician Assistant

NPI 1184698870

Physician Assistant (Certified)

Dr. David Nyanjom , MD

Internal Medicine - Pulmonary Disease

NPI 1235134370

Doctor of Medicine (M.D.)

Dr. Benorayehush Weldetsadik , MD

Internal Medicine

NPI 1255579744

Doctor of Medicine (M.D.)

Dr. Edward Schaefer , MD

Internal Medicine - Pulmonary Disease

NPI 1275507444

Doctor of Medicine (M.D.)

Dr. Carmen Salvaterra , MD

Internal Medicine - Pulmonary Disease

NPI 1285639336

Doctor of Medicine (M.D.)

Dr. Karen Brooks , MD

Internal Medicine - Critical Care Medicine

NPI 1346230414

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 15, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location October 15, 2009

Registered at 604 MISSION HILLS CT, SILVER SPRING, MD 209058020 (Tel: 4109975944)

📍

Updated Business Mailing Address October 15, 2009

Registered at 604 MISSION HILLS CT, SILVER SPRING, MD 209058020 (Tel: 4109975944)

👤

Provider Name / Credentials Updated October 15, 2009

Recorded as TSION BERHANE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2009

Surgery (License #D0055703 in MD)

🟢

Initial NPI Registration & Enumeration June 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255336962

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 17, 2005

Last Update: October 15, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

604 Mission Hills Ct

Silver Spring, MD 209058020

Phone: 4109975944

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.