Dr. Benalfew Tesfaye Legesse, MD

  • Jacksonville, FL
  • Psychiatrist
NPI1376767988PAC ID3274619663
Medicare services, 2024
677
Medicare patients, 2024
132
Part D claims, 2024
476
Publications
6
Clinical trials
1
Practice address
3625 University Blvd S, Jacksonville, FL 32216
Practice phone
Call (904) 702-6111
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

HCA Florida Memorial Hospital

Hospital · Jacksonville, Florida

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Dr. Benalfew Tesfaye Legesse is a psychiatrist in Jacksonville, Florida

Dr. Legesse practices at HCA Florida Memorial Hospital in Jacksonville, Florida, part of HCA Healthcare.

Dr. Legesse's NPI, 1376767988, was assigned on April 13, 2007. Dr. Legesse graduated from Addis Ababa University Faculty of Medicine in 1999. Dr. Legesse holds Florida license ME157729.

NPI and contact details
Medicare PAC ID
3274619663
NPI enumeration date
April 13, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(904) 702-6111
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
53
Medical school graduation
1999

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Benalfew Tesfaye Legesse practices at HCA Florida Memorial Hospital in Jacksonville, Florida

Dr. Legesse's primary practice is HCA Florida Memorial Hospital, at 3625 University Blvd S, Jacksonville, FL 32216 in Duval County. The practice phone is (904) 702-6111.

Source: Dmand AI Affiliation Data

Dr. Benalfew Tesfaye Legesse is affiliated with 2 sites of care and 1 medical group

Dr. Legesse's primary practice is HCA Florida Memorial Hospital in Jacksonville, Florida, part of HCA Healthcare. Dr. Legesse is also affiliated with HCA Florida Orange Park Hospital. The medical group on file is HCA Florida Jacksonville Primary Care.

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Benalfew Tesfaye Legesse's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Legesse practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
HCA Florida Memorial HospitalAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Benalfew Tesfaye Legesse is one of 1,975 psychiatrists in Florida

Psychiatry is Dr. Legesse's primary specialty in the NPI Registry, under taxonomy code 2084P0800X. Dr. Legesse is board certified in psychiatry by the American Board of Psychiatry and Neurology. Dmand AI has Dr. Legesse's licenses on file in 3 states: Florida, Massachusetts and West Virginia.

Specialties and state licenses

  • Psychiatry, FloridaPrimaryLicense ME157729 · 2022 to 2026 · taxonomy 2084P0800X
  • Internal medicine, MassachusettsLicense 238710 · 2009 to 2025 · taxonomy 207R00000X
  • West Virginia license2007 to 2020

Clinical focus

Dmand AI lists anxiety, bipolar disorder, dementia, depression, non-alzheimer's dementia (chronic), psychoses and schizophrenia among the conditions Dr. Legesse treats.

Psychiatrists near Dr. Legesse

Counts of psychiatrists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Benalfew Tesfaye Legesse billed Medicare for 677 services in 2024

CMS data shows 677 Medicare services from Dr. Legesse across 5 procedure codes in 2024, for 132 Medicare patients. Medicare paid $48,357 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024677
Medicare patients132
Paid by Medicare$48,357
Procedure codes5

Dr. Legesse's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 6972024: 56319%
Tests and treatments
2023: 492024: 114133%

Dr. Legesse compared with the Florida median for psychiatrists, 2024

  • Dr. Legesse
  • Florida median
Medicare services
677vs 2043.3 times
Medicare patients
132vs 7381% above
Part D claims
230vs 240Close to median

Medians across 1,952 psychiatrists in Florida with Dmand AI profiles that report each measure.

Dr. Legesse's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Legesse

Need commercial claims for Dr. Legesse?

Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Legesse and other psychiatrists in Florida.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Benalfew Tesfaye Legesse treated 132 Medicare patients in 2024, average age 66

CMS counts 132 Medicare patients who saw Dr. Legesse in 2024. The largest group is under 65, with 49 patients. 75% of them have anxiety, and 75% have depression. 46% are also on Medicaid. Their average risk score is 2.01, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Legesse's median patient age at 56, with 58% women.

Medicare patients, 2024132
Average age66
Average risk score2.01
Also on Medicaid46%

Dr. Legesse's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Legesse's Medicare patients by sex, 2024

  • Women6751%
  • Men6549%

Chronic conditions among Dr. Legesse's Medicare patients, 2024

  1. Anxiety75%
  2. Depression75%
  3. High blood pressure75%
  4. Mood disorders75%
  5. High cholesterol73%
  6. Schizophrenia and other psychoses65%
  7. Alcohol and drug use disorders55%
  8. Bipolar disorder55%

Share of Medicare patients with each condition. A patient can have several.

Dr. Legesse's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 56

Patient panel by sex, all payers

  • Women58%
  • Men41%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Benalfew Tesfaye Legesse wrote 476 Medicare Part D claims in 2024

In 2024, Dr. Legesse wrote 476 Medicare Part D claims for 89 patients. 96% of them were for generic drugs. CMS names the drug for 230 of them, across 12 drugs with 11 or more claims each, at $1,048 in total drug cost. In 2023, CMS named 77 claims across 5 drugs.

Part D claims, 2024476
Drugs named by CMS12
Total drug cost$1,048
Part D patients89

Dr. Legesse's Part D claims by kind of drug, 2024

  • Generic456 claims96%
  • Brand-name and other20 claims4%

Dr. Legesse's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Legesse's Part D claims, 2024

  • Antibiotics3%12 of 476 claims
  • Antipsychotics, patients 65 and over12%55 of 476 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 772024: 230199%

Drugs named by CMS: 12 in 2024, 5 in 2023.

See all prescribing by Dr. Legesse

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Benalfew Tesfaye Legesse scored 86 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 86 out of 100 for Dr. Legesse for performance year 2024, reported as part of a group. Dr. Legesse accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Legesse's MIPS scores, performance year 2024

  • 86of 100Final score
  • 78.6of 100Quality
  • 99of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 74of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Benalfew Tesfaye Legesse has 6 publications on record

Dmand AI links 6 papers to Dr. Legesse, published from 2007 to 2017. 2017 was the busiest year, with 2. Dr. Legesse's most frequent co-authors are Bruce Heimburger Price, MD, Baktash Babadi, MD, PhD and Brent Peter Forester, MD.

Papers6
Years published2007 to 2017

Dr. Legesse's papers by year, 2007 to 2017

Dr. Legesse's most frequent co-authors

Recent publications by Dr. Legesse

See all 6 publications and co-authors

See who Dr. Legesse researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Legesse works with, so you can find a warm path to the right psychiatrists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Benalfew Tesfaye Legesse has worked on 1 clinical trial

Dmand AI links Dr. Legesse to 1 clinical trial. Conditions studied include Alzheimer Disease and Tauopathies. Open Payments lists research payments to Dr. Legesse that name 1 trial.

Conditions in Dr. Legesse's trials

  • Alzheimer Disease
  • Tauopathies

Investigators on the most trials with Dr. Legesse

Recent clinical trials with Dr. Legesse

Sources: Open Payments (CMS), 2025 data, released July 7, 2026; Dmand AI Research Linkage; and ClinicalTrials.gov (National Library of Medicine)

Dr. Benalfew Tesfaye Legesse received $269 in industry payments from 2016 to 2019

CMS Open Payments shows 4 general payments to Dr. Legesse from 3 drug and device companies from 2016 to 2019. Food and beverage make up the largest share, 100% of the total. Otsuka America Pharmaceutical, Inc. paid the most, $117. It also lists 1 research payment totaling $149 in 2016, naming 1 clinical trial.

General payments to Dr. Legesse by program year, 2016 to 2019

Companies that paid Dr. Legesse the most, 2016 to 2019

Share is of all general payments to this clinician.

See all payments to Dr. Legesse

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Benalfew Tesfaye Legesse graduated from Addis Ababa University Faculty of Medicine

Dr. Legesse graduated from Addis Ababa University Faculty of Medicine in 1999.

  1. Medical schoolAddis Ababa University Faculty of Medicine
  2. Board certified in psychiatryAmerican Board of Psychiatry and Neurology

Source: Dmand AI Professional Profile Data

Dr. Benalfew Tesfaye Legesse accepts plans from 15 insurance carriers

Dr. Legesse is in network with 15 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. Medicare plans come from the most carriers, 11. Check the plan with the practice before a visit.

Plan types Dr. Legesse accepts, by number of carriers

  1. Medicare11
  2. PPO10
  3. HMO8
  4. EPO4
  5. Medicaid2
  6. POS2

Source: Dmand AI Insurance Network Data

Sources for Dr. Benalfew Tesfaye Legesse's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Clinical trials and co-investigatorsDmand AI Research LinkageClinicalTrials.gov (National Library of Medicine) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Benalfew Tesfaye Legesse

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Benalfew Tesfaye Legesse's NPI number?

Dr. Benalfew Tesfaye Legesse's NPI number is 1376767988. It was assigned on April 13, 2007, and it is active in the NPI Registry.

What kind of doctor is Dr. Benalfew Tesfaye Legesse?

Dr. Benalfew Tesfaye Legesse is a psychiatrist in Jacksonville, Florida. The primary specialty in the NPI Registry is Psychiatry Physician (taxonomy code 2084P0800X).

Where does Dr. Benalfew Tesfaye Legesse practice?

Dr. Legesse practices at 3625 University Blvd S, Jacksonville, FL 32216. Dr. Legesse's primary practice is HCA Florida Memorial Hospital in Jacksonville, Florida, part of HCA Healthcare.

What is Dr. Benalfew Tesfaye Legesse's office phone number?

The practice phone on file for Dr. Legesse is (904) 702-6111.

What is Dr. Benalfew Tesfaye Legesse's medical license number?

Dr. Legesse holds Florida license ME157729, one of the licenses on file in 3 states.

Which states has Dr. Benalfew Tesfaye Legesse been licensed in?

Dmand AI has state licenses on file for Dr. Legesse in Florida (2022 to 2026), Massachusetts (2009 to 2025) and West Virginia (2007 to 2020).

Which hospitals is Dr. Benalfew Tesfaye Legesse affiliated with?

Dr. Legesse practices at HCA Florida Memorial Hospital in Jacksonville, Florida. Dr. Legesse is also affiliated with HCA Florida Orange Park Hospital.

What medical group is Dr. Benalfew Tesfaye Legesse part of?

Dr. Legesse is linked to HCA Florida Jacksonville Primary Care.

Does Dr. Benalfew Tesfaye Legesse accept Medicare?

Yes. CMS data shows Dr. Legesse billed Medicare for 677 services in 2024, and Dr. Legesse accepts Medicare assignment.

What is Dr. Benalfew Tesfaye Legesse's MIPS score?

Dr. Legesse's MIPS final score for performance year 2024 is 86 out of 100, reported as part of a group.

Show 10 more questionsShow fewer questions

How many Medicare patients does Dr. Benalfew Tesfaye Legesse see?

CMS counts 132 Medicare patients who saw Dr. Legesse in 2024, with an average age of 66.

Is Dr. Benalfew Tesfaye Legesse board certified?

Yes. Dr. Legesse is board certified in psychiatry by the American Board of Psychiatry and Neurology.

What services does Dr. Benalfew Tesfaye Legesse bill to Medicare?

In 2024, Dr. Legesse's most billed Medicare services were hospital inpatient care (99232), psychiatric service (90870) and hospital inpatient care (99222).

Where did Dr. Benalfew Tesfaye Legesse go to medical school?

Dr. Legesse graduated from Addis Ababa University Faculty of Medicine in 1999.

What drugs does Dr. Benalfew Tesfaye Legesse prescribe most?

In 2024 Medicare Part D data, Dr. Legesse's most prescribed drugs by claims were Trazodone HCl, Risperidone and Quetiapine Fumarate.

Has Dr. Benalfew Tesfaye Legesse received payments from drug or device companies?

CMS Open Payments shows $269 in general payments to Dr. Legesse from 3 companies from 2016 to 2019. The largest total came from Otsuka America Pharmaceutical, Inc.

How long has Dr. Benalfew Tesfaye Legesse been practicing?

Dr. Legesse graduated from medical school in 1999, 27 years ago.

Does Dr. Benalfew Tesfaye Legesse do research?

Dmand AI links 6 publications to Dr. Legesse, published from 2007 to 2017. Dr. Legesse has worked on 1 clinical trial.

Who does Dr. Benalfew Tesfaye Legesse publish with?

Dr. Legesse's most frequent co-authors are Bruce Heimburger Price, MD (2 shared papers), Baktash Babadi, MD, PhD (1 shared paper) and Brent Peter Forester, MD (1 shared paper).

What insurance does Dr. Benalfew Tesfaye Legesse accept?

Dr. Legesse is in network with 15 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. Medicare plans come from the most carriers, 11. Check the plan with the practice before a visit.

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