Physician

Nikoloz Koshkelashvili, M.D.

According to 2025 Medicare claims, Nikoloz Koshkelashvili, M.D. (NPI: 1295177889) practices interventional cardiology in the Johnson City, TN market, with the plurality of this provider's patient population coming from Washington, TN. This provider's primary affiliated billing organization is KARING HEARTS CARDIOLOGY PC (NPI: 1841895935; TIN: 85-4071865) and primary practice location at 37604-3645. Koshkelashvili is affiliated with the Mission Health Partners, LLC (ACO ID: A2591) and Emergent ACO 23.1, LLC (ACO ID: A5203), participating under the MSSP model.

Koshkelashvili's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,170 traditional Medicare patients, billed 3,777 HCPCS/CPT codes, and received $330,942 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 6,666 prescription claims across 1,313 beneficiaries totaling $1,201,891 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 17 records totaling $673. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $58,860 to $1,201,891. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	259	875	$96,389
2022	916	3,276	$310,134
2023	1,119	3,901	$381,926
2024	1,170	3,777	$330,942

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	113	833	$58,860
2016	52	376	$22,846
2017	25	76	$4,324
2018	N/R	31	$703
2019	N/R	18	$1,137
2020	N/R	N/R	N/R
2021	91	200	$21,587
2022	612	2,577	$277,473
2023	1,004	4,830	$816,878
2024	1,313	6,666	$1,201,891

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	144	144	$108
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	127	130	$90
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	374	375	$89
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	268	366	$84
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	212	242	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	563	26,626	$511,577
Xarelto	Rivaroxaban	171	8,770	$161,609
Farxiga	Dapagliflozin Propanediol	103	4,720	$86,908
Jardiance	Empagliflozin	65	3,450	$67,909
Entresto	Sacubitril/Valsartan	58	3,040	$56,811

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	17	$673	Boston Scientific Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Nikoloz Koshkelashvili, M.D.?

Tedicare shows public-source Medicare data for Nikoloz Koshkelashvili, M.D. (NPI 1295177889), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Nikoloz Koshkelashvili, M.D. have ACO affiliation data?

Nikoloz Koshkelashvili, M.D. is shown with ACO affiliation data for Mission Health Partners, LLC (MSSP, ACO ID A2591) and Emergent ACO 23.1, LLC (MSSP, ACO ID A5203).

What billing organization is linked to Nikoloz Koshkelashvili, M.D.?

Nikoloz Koshkelashvili, M.D. is linked to KARING HEARTS CARDIOLOGY PC (billing NPI 1841895935) in the available physician profile data.

Does Nikoloz Koshkelashvili, M.D. have Open Payments data?

Nikoloz Koshkelashvili, M.D. has 17 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.