Ketevan Gvalia, M. D.
NPI 1255774527 · Internal Medicine Physician · Scranton, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketevan Gvalia, M. D. is a Internal Medicine Physician provider in Scranton, PA (NPI 1255774527).
Provider details
- NPI number
- 1255774527
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M. D.
- Sex
- Female
- Sole proprietor
- No
- License
- TMD005308 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
790 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 330 | $109 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 282 | $73 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 141 | $106 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 23 | $46 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 14 | $120 |
Typical Medicare-allowed amounts for these services range $46–$120 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 20 | 20 |
| Furosemide | 20 | 15 |
| Prednisone | 16 | 15 |
| Pantoprazole Sodium | 15 | 15 |
| Potassium Chloride | 12 | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 5165 Mccarty LnLafayette, IN 47905-8764Phone: (765) 448-8000
Registry dates
- Enumerated
- 2013-04-16
- Last updated
- 2021-10-05
- Certified
- 2021-10-05
Frequently asked questions
- What is Ketevan Gvalia's NPI number?
- Ketevan Gvalia's National Provider Identifier (NPI) is 1255774527, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ketevan Gvalia's specialty?
- Ketevan Gvalia is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ketevan Gvalia located?
- Ketevan Gvalia's practice location on file with NPPES is 1800 Mulberry St, Scranton, PA 18510-2369.
- What is Ketevan Gvalia's phone number?
- The practice phone number listed in the NPPES registry for Ketevan Gvalia is (570) 703-7351.
- Does Ketevan Gvalia accept Medicare?
- Ketevan Gvalia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ketevan Gvalia's NPI active?
- Yes — Ketevan Gvalia's NPI (1255774527) is active in the NPPES registry as of the last update on 2021-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.