Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GREGORY G KHURTSIDZE M.D.
NPI 1396721114
Internal Medicine in Longview, WA

Q: What is Gregory Khurtsidze's NPI number?

The NPI number for Gregory Khurtsidze is 1396721114. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Q: What is Gregory Khurtsidze's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since December 22, 2005PECOS Enrolled

1706 WASHINGTON WAY, LONGVIEW, WA 98632(360) 423-9580(360) 577-6230 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Gregory G Khurtsidze M.d. NPPES

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

DR. GREGORY G KHURTSIDZE M.D. (NPI 1396721114) is an individual internal medicine provider in Longview, Washington, licensed in Washington (42032) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Peacehealth St John Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1396721114

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. GREGORY G KHURTSIDZECredential: M.D.

Location Address1706 WASHINGTON WAYLongview, WA 98632-2952

Mailing AddressPo Box 1338Longview, WA 98632-7785 · (360) 423-9580 · Fax (360) 577-6230

Phone(360) 423-9580

Fax(360) 577-6230

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateDecember 22, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1396721114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WA · 42032

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1706 WASHINGTON WAY, Longview, WA 98632

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Other Identifiers 1

Medicaid8374639WA

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. Gregory G Khurtsidze M.d. 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 ID840349569

PECOS Enrollment IDI20090528000385, I20250116002923

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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services13 patients

Hospital Affiliations CMS Care Compare

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

Peacehealth St John Medical Center

Acute Care Hospitals · Longview, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500041

Location1615 Delaware StreetLongview, WA 98632 · Cowlitz County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

Other Providers at the Same Location NPPES 12

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

DAVID L OLIVER P.A.

Physician Assistant