Jonathan Ethan Tannebaum, MD
NPI 1285922724ActiveIndividual· Surgery· Oakland, MD
Surgery (MD) in Oakland, Maryland, trained at Jefferson Medical College of Thomas Jefferson University (class of 2009). 254 Medicare patients in 2024, $51,731 paid; nearly all of their 54 Part D prescriptions were generic (93%).
Overview
| NPI | 1285922724 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 19, 2011 |
| Last updated in NPPES | Aug 16, 2021 |
| Certified by provider | Aug 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 275818 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (MD); Practitioner - General Surgery (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 254 |
|---|---|
| Services billed | 522 across 40 procedure codes |
| Paid by Medicare | $51,731 |
Part D prescriptions in 2024
| Prescriptions (claims) | 54 · 75 30-day fills |
|---|---|
| Patients | 41 |
| Total drug cost | $1,938 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | Jefferson Medical College of Thomas Jefferson University |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | General Surgery |
Medical group
- Specialty Physicians of Garrett County, LLCOakland, MD · 91 clinicians
Hospital affiliations
- Garrett Regional Medical CenterOakland, MD
- West Virginia University Hospitals, IncMorgantown, WV
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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