DR. TEONA MAGHLAKELIDZE MD
NPI 1508078023
Internal Medicine in Midland, MI

Active since May 04, 2007PECOS EnrolledAccepts Medicare Assignment
85.44/100
CMS Quality Rating
4401 CAMPUS RIDGE DR STE 1100, MIDLAND, MI 48640(989) 837-9200(989) 837-9205 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 2, 2017 (2 updates tracked since 2017).

About Dr. Teona Maghlakelidze Md NPPES

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

DR. TEONA MAGHLAKELIDZE MD (NPI 1508078023) is an individual internal medicine provider in Midland, Michigan, licensed in Michigan (4301083483) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Clare, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1508078023
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. TEONA MAGHLAKELIDZECredential: MD
Location Address4401 CAMPUS RIDGE DR STE 1100Midland, MI 48640-6125
Mailing Address4401 Campus Ridge Dr Ste 1100Midland, MI 48640-6125 · (989) 837-9200 · Fax (989) 837-9205
Fax(989) 837-9205
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1508078023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301083483
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.
4401 CAMPUS RIDGE DR STE 1100, Midland, MI 48640

Other Identifiers 19

Other1026134Mclaren Health Plan
Other381908328 386Community Choice Of Mi
Other700G361110MI · Blue Cross
Other1026133Mclaren Health Plan
Other381908328Aetna
Other381908328 076Community Choice Of Mi
Other01006116Healthplus Of Michigan
Other700G361110MI · Blue Cross Group
Other1026135Mclaren Health Plan
Other1107312852MI · Blue Cross Individual
Other161377Great Lakes Health Plan
Other381908328 383Community Choice Of Mi
Other381908328 384Community Choice Of Mi
Other5175823MI · Medicaid Type 77
Other1026132Mclaren Health Plan
Other1107312852MI · Blue Cross Trust
Medicaid5175850MI
Other700G361110Blue Care Network
Other381908328 385Community Choice Of Mi

Accepted 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. Teona Maghlakelidze 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 ID7214036169
PECOS Enrollment IDI20070619000256
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 7

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.
272 services76 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
221 services75 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
29 services26 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
13 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48640 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

85.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.94
Promoting Interoperability100
Improvement Activities40
Cost63.91

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers52 claims165 services$5.52 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers25 claims28 services$0.75 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers14 claims14 services$54.10 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers15 claims15 services$20.16 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers21 claims118 services$1.85 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier19 claims19 services$63.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Speech-Language Pathologist
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Internal Medicine (Infectious Disease)
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Physician Assistant
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Internal Medicine
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Pharmacist (Ambulatory Care)
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Nurse Practitioner
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640
Internal Medicine
4401 CAMPUS RIDGE DR STE 1100
MIDLAND, MI 48640

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 Teona Maghlakelidze's NPI number?

The NPI number for Teona Maghlakelidze is 1508078023. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Teona Maghlakelidze located?

Teona Maghlakelidze practices at 4401 Campus Ridge Dr Ste 1100, Midland, MI 48640. The listed phone number is (989) 837-9200.

What is Teona Maghlakelidze's specialty?

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

Is Teona Maghlakelidze enrolled in Medicare?

Yes. Teona Maghlakelidze 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.

What insurance does Teona Maghlakelidze accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Teona Maghlakelidze as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Teona Maghlakelidze affiliated with any hospitals?

According to CMS data, Teona Maghlakelidze is affiliated with Mymichigan Medical Center Clare and Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for Teona Maghlakelidze was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.