DR. KONSTANTIN DZAMASHVILI MD
NPI 1174529085
Psychiatry & Neurology - Neurology in Fort Myers, FL

Q: What is Konstantin Dzamashvili's NPI number?

The NPI number for Konstantin Dzamashvili is 1174529085. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Q: What is Konstantin Dzamashvili's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since June 24, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

12670 WHITEHALL DR, FORT MYERS, FL 33907(239) 936-3554(239) 936-8993 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2016, Aug 24, 2016 (2 updates tracked since 2016).

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About Dr. Konstantin Dzamashvili Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KONSTANTIN DZAMASHVILI MD (NPI 1174529085) is an individual neurology provider in Fort Myers, Florida, licensed in Florida (ME126918) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (1973).

NPPES Registry Identity

NPI1174529085

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. KONSTANTIN DZAMASHVILICredential: MD

Location Address12670 WHITEHALL DRFort Myers, FL 33907-3619

Mailing Address12670 Whitehall DrFort Myers, FL 33907-3619 · (239) 936-3554 · Fax (239) 936-8993

Phone(239) 936-3554

Fax(239) 936-8993

Sole ProprietorNo

Medical School CMSOtherGraduated 1973

Enumeration DateJune 24, 2005

Last NPPES UpdateNovember 18, 20162 updates tracked since enumeration

✔ NPI 1174529085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in FL · ME126918✔ Licensed in IL · 036093821

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X · License 036093821 (IL)

12670 WHITEHALL DR, Fort Myers, FL 33907

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Other Identifiers 8

Other036093821IL · State License

Other206147046Medicare Ptan (individual)

Medicaid036093821IL

OtherCA4748Medicare Railroad (group)

OtherP00904562Medicare Railroad (provider)

Medicare PINIQ302ZFL

Medicare UPING74924

Other206147Medicare Ptan (group)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Konstantin Dzamashvili Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517953607

PECOS Enrollment IDI20160812001746

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

927 services588 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

269 services125 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

195 services195 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

118 services115 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

111 services45 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

100 services43 patients

Nerve conduction, 5-6 studies 95909

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.

85 services85 patients

Measurement of brain wave activity with video (veeg), 12-26 hours 95714

A Video EEG (VEEG) is a non-invasive procedure that records brain wave activities for 12-26 hours. It involves placing electrodes on your scalp and recording brain wave patterns, while a video captures your physical behaviors. This helps in diagnosing and managing neurological conditions.

51 services26 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

39 services38 patients

Punch biopsy, each additional skin growth 11105

A punch biopsy is a procedure where a small, circular tool removes a sample of your skin growth. This allows for testing to identify the nature of the growth. If there are multiple growths, each additional one may also need a biopsy.

31 services16 patients

Measurement of brain wave activity (eeg), continuous 95700

Measurement of brain wave activity, or EEG, is a non-invasive procedure that records electrical patterns in your brain. This continuous monitoring helps to identify irregularities in brain function, aiding in diagnosis of conditions like epilepsy.

27 services27 patients

Measurement of brain wave activity with video (veeg), 37-60 hours with review and report by health care professional 95722

This procedure involves recording brain wave activity over 37-60 hours using video electroencephalogram (VEEG). It helps to identify abnormal brain activity and can assist in diagnosing conditions like epilepsy. A healthcare professional will review the results and provide a report.

25 services25 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

19 services19 patients

Measurement of brain wave activity (eeg), awake and asleep 95819

The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.

18 services18 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

17 services16 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

15 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100220

Location13681 Doctors WayFort Myers, FL 33912 · Lee County

Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100244

Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33907 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

98.4

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LANE R CARLIN M.D.

Psychiatry & Neurology (Neurology)