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Dr. Konstantin Dzamashvili

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NPI Number Detailed Information

Provider Information:

Name: Dr. Konstantin Dzamashvili
Gender: M
Provider License Number If Given: 36093821

NPI Information:

NPI: 1174529085
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/24/2005

Last Update Date: 11/18/2016

Reputation Report:

Provider Business Mailing Address:

Address: 12670 WHITEHALL DR
Fort Myers, FL 33907
Phone Number: 2399363554
Fax Number: 2399368993

Provider Business Practice Location Address:

Address: 12670 WHITEHALL DR
Fort Myers, FL 33907
Phone Number: 2399363554
Fax Number: 2399368993

Provider Taxonomy:

Primary: 2084N0400X
Secondary (if any): 2084V0102X
State: FL

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About Dr. Konstantin Dzamashvili

Dr. Konstantin Dzamashvili (DR. KONSTANTIN DZAMASHVILI ) is A Psychiatry & Neurology Physician in Fort Myers, FL. The NPI Number for Dr. Konstantin Dzamashvili is 1174529085.
The current location address for Dr. Konstantin Dzamashvili is 12670 WHITEHALL DR Fort Myers, FL 33907 and the contact number is 2399363554 and fax number is 2399368993. The mailing address for Dr. Konstantin Dzamashvili is 12670 WHITEHALL DR Fort Myers, FL 33907- 2399363554 (mailing address contact number - 2399363554).
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.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Konstantin Dzamashvili ?


Answer: The NPI Number for Dr. Konstantin Dzamashvili is 1174529085

Where is Dr. Konstantin Dzamashvili located?


Answer: Dr. Konstantin Dzamashvili is located at 12670 WHITEHALL DR Fort Myers, FL 33907.

What is the specialty for Dr. Konstantin Dzamashvili ?


Answer: The Specialty of Dr. Konstantin Dzamashvili is A Psychiatry & Neurology Physician.

Are there any online reviews for Dr. Konstantin Dzamashvili ?


Answer: Yes! Check It Now.

Are there any other health care providers in Fort Myers, FL?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Konstantin Dzamashvili

Number of HCPCS 40
Number of Medicare Beneficiaries 1246
Number of Services 6967
Total Submitted Charge Amount 892087
Total Medicare Allowed Amount 464761.78
Total Medicare Payment Amount 361239.21
Total Medicare Standardized Payment Amount 341131.75
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 2
Number of Medicare Beneficiaries With Drug Services 24
Number of Drug Services 4134
Total Drug Submitted Charge Amount 33004
Total Drug Medicare Allowed Amount 24961.57
Total Drug Medicare Payment Amount 19639.83
Total Drug Medicare Standardized Payment Amount 19247.13
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 38
Number of Medicare Beneficiaries With Medical 1246
Number of Medical Services 2833
Total Medical Submitted Charge Amount 859083
Total Medical Medicare Allowed Amount 439800.21
Total Medical Medicare Payment Amount 341599.38
Total Medical Medicare Standardized Payment Amount 321884.62
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65 123
Number of Beneficiaries Age 65 to 74 438
Number of Beneficiaries Age 75 to 84 501
Number of Beneficiaries Age Greater 84 184
Number of Female Beneficiaries 645
Number of Male Beneficiaries 601
Number of Non-Hispanic White Beneficiaries 1093
Number of Black or African American Beneficiaries 53
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 55
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 162
Number of Beneficiaries With Medicare Only Entitlement 1084
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.2
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.31
Percent (%) of Beneficiaries Identified With Asthma 0.09
Percent (%) of Beneficiaries Identified With Cancer 0.15
Percent (%) of Beneficiaries Identified With Heart Failure 0.27
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.46
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.2
Percent (%) of Beneficiaries Identified With Depression 0.39
Percent (%) of Beneficiaries Identified With Diabetes 0.37
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.56
Percent (%) of Beneficiaries Identified With Osteoporosis 0.1
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.59
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.05
Percent (%) of Beneficiaries Identified With Stroke 0.31
Average HCC Risk Score of Beneficiaries 1.8036

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Neurology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 2126
Number of Standardized 30-Day Fills 3803.2333333
Aggregate Cost Paid for All Claims 487925.66
Number of Day's Supply for All Claims 112142
Number of Medicare Beneficiaries 481
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1584
Including Refills, for Beneficiaries Age 65+ 3054.5
Beneficiaries Age 65+ 121069.33
Number of Day's Supply for All Claims for Beneficaries Age 65+ 89992
Number of Medicare Beneficiaries Age 65+ 411
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst #
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1972
Aggregate Cost Paid for Generic Drugs 90267.16
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 650
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 344793.4
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1476
Aggregate Cost Paid for Claims Filled by 143132.26
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 549
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 70750.67
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1577
by Low-Income Subsidy 417174.99
Total Claims of Opioid Drugs, Including 14
Aggregate Cost Paid for Opioid Drugs 339.26
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 0.6585136406
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims 0
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 23
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 228.31
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 72.424116424
Number of Beneficiaries Age Less Than 65 70
Number of Beneficiaries Age 65 to 74 190
Number of Beneficiaries Age 75 to 84 163
Number of Female Beneficiaries 249
Number of Male Beneficiaries 232
Number of Non-Hispanic White 422
Number of Black or African American 17
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 23
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 16
Only Entitlement 403
Average Hierarchical Condition Category 1.5149236199

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