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SHALVA V KAKABADZE MD
NPI 1962465427
Family Medicine in Reynoldsville, PA

Active since April 07, 2006PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
5 N 3RD ST, REYNOLDSVILLE, PA 15851(814) 653-8222(814) 653-9305 Get Directions Write a Review

NPPES record last updated: June 10, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shalva V Kakabadze Md NPPES

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

SHALVA V KAKABADZE MD (NPI 1962465427) is an individual family medicine provider in Reynoldsville, Pennsylvania, licensed in Pennsylvania (MD442814) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1962465427
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHALVA V KAKABADZECredential: MD
Location Address5 N 3RD STReynoldsville, PA 15851-0907
Mailing AddressPo Box 447Du Bois, PA 15801-0447 · (814) 653-8222 · Fax (814) 653-9305
Phone(814) 653-8222
Fax(814) 653-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateApril 7, 2006
Last NPPES UpdateJune 10, 2011
✔ NPI 1962465427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · MD442814✔ Licensed in OH · 35079515
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 N 3RD ST, Reynoldsville, PA 15851
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH38087
Medicare PINKA4051842OH
Medicaid2257776OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Shalva V Kakabadze 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 ID9739103821
PECOS Enrollment IDI20110630000490
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 11

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, 20-29 minutes 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.
284 services176 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.
238 services238 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
175 services127 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
141 services43 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
103 services44 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
46 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Punxsutawney Area Hospital

Acute Care Hospitals · Punxsutawney, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390199
Location81 Hillcrest DrivePunxsutawney, PA 15767 · Jefferson County
Emergency services Birthing friendly

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391312
Location100 Hospital RoadBrookville, PA 15825 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15851 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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
12 suppliers92 claims166 services$5.12 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers32 claims33 services$1.04 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier16 claims256 services$2.03 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers34 claims34 services$21.31 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims14 services$6.87 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers53 claims53 services$109.02 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 5

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

DUBOIS REGIONAL MEDICAL CENTER
Family Medicine
5 N 3RD ST, SUITE 1
REYNOLDSVILLE, PA 15851
Jefferson County (814) 653-8222
SHARON GILMORE CRNP
Nurse Practitioner (Pediatrics)
5 N 3RD ST
REYNOLDSVILLE, PA 15851
Jefferson County (814) 653-8222
DUBOIS REGIONAL MEDICAL CENTER
Family Medicine
5 N 3RD ST
REYNOLDSVILLE, PA 15851
Jefferson County (814) 653-8222
ALYSSA HANNAH PA
Physician Assistant (Medical)
5 N 3RD ST
REYNOLDSVILLE, PA 15851
Jefferson County (814) 653-8222
MRS. MARY ELIZABETH LOGAN CRNP
Nurse Practitioner (Family)
5 N 3RD ST
REYNOLDSVILLE, PA 15851
Jefferson County (814) 653-8222

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 Shalva Kakabadze's NPI number?

The NPI number for Shalva Kakabadze is 1962465427. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Shalva Kakabadze located?

Shalva Kakabadze practices at 5 N 3rd St, Reynoldsville, PA 15851. The listed phone number is (814) 653-8222.

What is Shalva Kakabadze's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shalva Kakabadze enrolled in Medicare?

Yes. Shalva Kakabadze 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 Shalva Kakabadze accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Shalva Kakabadze 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 Shalva Kakabadze affiliated with any hospitals?

According to CMS data, Shalva Kakabadze is affiliated with Penn Highlands Dubois, Punxsutawney Area Hospital and Penn Highlands Brookville.

When was this NPI record last updated?

The NPPES record for Shalva Kakabadze was last updated on June 10, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.