Gvantsa Didebulidze, M.D
NPI 1730474644 · Internal Medicine Physician · Brockton, MA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gvantsa Didebulidze, M.D is a Internal Medicine Physician provider in Brockton, MA (NPI 1730474644).
Provider details
- NPI number
- 1730474644
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- No
- License
- 257775 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 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
406 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 124 | $129 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 119 | $92 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 46 | $131 |
| Administration of Influenza Virus VaccineG0008 | 43 | $33 |
| Hemoglobin A1c Level83036 | 34 | $10 |
| Physician Or Allowed Practitioner Certification for Medicare-Covered Home Health Services Under a Home Health Plan of Care (patient Not Present), Including Contacts With Home Health Agency and Review of Reports of Patient Status Required By Physicians and |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 34 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 116 | 48 |
| Lisinopril | 69 | 26 |
| Omeprazole | 62 | 29 |
| Lorazepam | 58 | 27 |
| Amlodipine Besylate | 54 | 27 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 52 | 25 |
| Oxycodone Hcl |
Practice location
Mailing address
Additional practice locations (1)
- 67 South Bedford StreetBurlington, MA 01805-4042Phone: (781) 744-8000
Registry dates
- Enumerated
- 2011-06-20
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Frequently asked questions
- What is Gvantsa Didebulidze's NPI number?
- Gvantsa Didebulidze's National Provider Identifier (NPI) is 1730474644, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gvantsa Didebulidze's specialty?
- Gvantsa Didebulidze is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gvantsa Didebulidze located?
- Gvantsa Didebulidze's practice location on file with NPPES is 63 Main St, Brockton, MA 02301-4042.
- What is Gvantsa Didebulidze's phone number?
- The practice phone number listed in the NPPES registry for Gvantsa Didebulidze is (508) 559-6699.
- Does Gvantsa Didebulidze accept Medicare?
- Gvantsa Didebulidze is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gvantsa Didebulidze's NPI active?
- Yes — Gvantsa Didebulidze's NPI (1730474644) is active in the NPPES registry as of the last update on 2025-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.