BELACHEW TESSEMA (M.D.) – Otolaryngology Physician, NPI 1417005000
Otolaryngology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
159 OTOLARYNGOLOGY in CT
Provider Addresses for BELACHEW TESSEMA (M.D.)
263 Farmington Avenue
Farmington, CT 060308060
Phone: (860) 679-2804
Fax: (860) 679-0161
Type: Location
21 SOUTH RD
FARMINGTON, CT 060322482
Phone: (860) 284-4950
Type: Location
21, South Road, Farmington, Hartford County, Connecticut, 06032, United States
FARMINGTON, CT 060322573
Phone: (860) 284-4950
Type: Location
3 FARM GLEN BLVD
FARMINGTON, CT 060321981
Phone: (860) 284-5266
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $1,768.
Total Amount is formed as General ($1,768) + Research ($0) + Ownership ($0) = $1,768.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GENZYME CORPORATION ($1,555).
Total Amount
$1,768
General + Research + Ownership
Payments
24
Total payment records
General Amount
$1,768
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $1,555 |
| GlaxoSmithKline, LLC. | $64 |
| Medtronic, Inc. | $42 |
| Acclarent, Inc | $37 |
| Regeneron Healthcare Solutions, Inc. | $28 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090815000119 | I | Otolaryngology | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 31231 | Diagnostic exam of nasal passages using an endoscope | 106 | 79 | $0 |
| 69210 | Removal of impacted ear wax | 73 | 55 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 52 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 54 | 45 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 06030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | NY | |
| E N D O C R I N O L O G Y | VA | |
| Orthopedic Surgery | CT | |
| Orthopedic Surgery | CT | |
| Endocrinology, Internal Medicine | CT | |
| Critical Care (Intensivists) | CT | |
| Hospitalist, Internal Medicine | CT | |
| Gynecological Oncology | NY | |
| Physician Assistant | CT | |
| Hand Surgery, Orthopedic Surgery | CT |
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