Theodros Mengesha, MD
NPI 1184771909 · Neurology Physician · Madison, AL
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodros Mengesha, MD is a Neurology Physician provider in Madison, AL (NPI 1184771909).
Provider details
- NPI number
- 1184771909
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 28347 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,102 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,140 | $118 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 185 | $203 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 169 | $163 |
| Measurement of Brain Wave Activity (eeg), Awake and Asleep95819 | 113 | $406 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 109 | $113 |
| Measurement of Brain Wave Activity (eeg), Awake and Asleep95819 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 92 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Memantine Hcl | 699 | 197 |
| Levetiracetam | 580 | 125 |
| Gabapentin | 571 | 80 |
| Amitriptyline Hcl | 366 | 89 |
| Donepezil Hcl | 351 | 108 |
| Duloxetine Hcl | 321 | 80 |
| Primidone | 307 | 70 |
| Topiramate | 289 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$4,930 across 263 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2024-11-17
- Certified
- 2024-11-17
Frequently asked questions
- What is Theodros Mengesha's NPI number?
- Theodros Mengesha's National Provider Identifier (NPI) is 1184771909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodros Mengesha's specialty?
- Theodros Mengesha is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Theodros Mengesha located?
- Theodros Mengesha's practice location on file with NPPES is 8484 Wann Dr Nw Ste a, Madison, AL 35758-9545.
- What is Theodros Mengesha's phone number?
- The practice phone number listed in the NPPES registry for Theodros Mengesha is (256) 963-9444.
- Does Theodros Mengesha accept Medicare?
- Theodros Mengesha is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodros Mengesha's NPI active?
- Yes — Theodros Mengesha's NPI (1184771909) is active in the NPPES registry as of the last update on 2024-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.