NONA KHUTSISHVILI PA-C
NPI 1457851966
Physician Assistant in Bel Air, MD

Active since February 20, 2018PECOS EnrolledAccepts Medicare Assignment
1115 S MAIN ST, BEL AIR, MD 21014(410) 879-7404 Get Directions Write a Review

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nona Khutsishvili Pa-c NPPES

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

NONA KHUTSISHVILI PA-C (NPI 1457851966) is an individual physician assistant in Bel Air, Maryland, licensed in Maryland (C0006732) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1457851966
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNONA KHUTSISHVILICredential: PA-C
Location Address1115 S MAIN STBel Air, MD 21014-5460
Mailing Address17 Poinsettia CtBaltimore, MD 21209-1108 · (410) 504-4122
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 20, 2018
NPI 1457851966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MD · C0006732
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1115 S MAIN ST, Bel Air, MD 21014

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

Nona Khutsishvili Pa-c 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 ID345503462
PECOS Enrollment IDI20180424000424
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.

Detection test by immunoassay technique for influenza virus 87400
An immunoassay test for influenza virus is a procedure that identifies the presence of the flu virus in your body. It uses your body's immune response to detect specific proteins (antigens) associated with the virus. This helps in early and accurate diagnosis of influenza.
234 services113 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
154 services146 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
140 services135 patients
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.
125 services114 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
71 services64 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21014 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
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 5

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

Dermatology
1115 S MAIN ST
BEL AIR, MD 21014
Physician Assistant
1115 S MAIN ST
BEL AIR, MD 21014
Physician Assistant
1115 S MAIN ST
BEL AIR, MD 21014
Physician Assistant
1115 S MAIN ST
BEL AIR, MD 21014
Dermatology
1115 S MAIN ST
BEL AIR, MD 21014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nona Khutsishvili's NPI number?

The NPI number for Nona Khutsishvili is 1457851966. It was assigned to this individual provider in the NPPES registry on February 20, 2018.

Where is Nona Khutsishvili located?

Nona Khutsishvili practices at 1115 S Main St, Bel Air, MD 21014. The listed phone number is (410) 879-7404.

What is Nona Khutsishvili's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nona Khutsishvili enrolled in Medicare?

Yes. Nona Khutsishvili is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nona Khutsishvili was last updated on February 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.