DR. GANANA TESFA (M.D.) – Specialist, NPI 1891844577
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,738 NEUROLOGY in TX
Provider Addresses for DR. GANANA TESFA (M.D.)
2800 E BROAD ST STE 517
MANSFIELD, TX 760636417
Phone: (817) 592-3360
Fax: (817) 549-5151
Type: Mailing
East Broad Street, Mansfield, Tarrant County, Texas, 76063, United States
SUITE 504
MANSFIELD, TX 76063
Phone: (817) 225-0410
Fax: (817) 453-9819
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 255 Open Payments records for all available years, with a total value of $3,911.
Total Amount is formed as General ($3,911) + Research ($0) + Ownership ($0) = $3,911.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($1,130).
Total Amount
$3,911
General + Research + Ownership
Payments
255
Total payment records
General Amount
$3,911
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,130 |
| PFIZER INC. | $427 |
| SK Life Science, Inc. | $349 |
| Otsuka America Pharmaceutical, Inc. | $286 |
| UCB, Inc. | $262 |
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: 2010-02-09
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 |
|---|---|---|---|---|
| I20100209000505 | I | Neurology | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 467 | 297 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 113 | 113 | $0 |
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 45 | 44 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 38 | 38 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 76063)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX |
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