Mariam M. Kirvalidze, DO
NPI 1508353517ActiveIndividual· Family Medicine· East Setauket, NY
Family Medicine (DO) in East Setauket, New York, trained at New York College of Osteo Medicine of New York Institute of Technology (class of 2018). Their prescriptions cost Medicare Part D more than their services did: $158,768 for 1,092 claims, against $44,557 paid for services in 2024.
Overview
| NPI | 1508353517 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | Yes |
| NPI issued | Apr 16, 2018 |
| Last updated in NPPES | Sep 25, 2022 |
| Certified by provider | Jul 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 310737 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 165 |
|---|---|
| Services billed | 531 across 39 procedure codes |
| Paid by Medicare | $44,557 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,092 · 2,283 30-day fills |
|---|---|
| Patients | 202 |
| Total drug cost | $158,768 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | New York College of Osteo Medicine of New York Institute of Technology |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Stony Brook Family and Preventive Medicine, University Faculty PracticStony Brook, NY · 44 clinicians
Hospital affiliation
- Suny/Stony Brook University HospitalStony Brook, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 21 family medicine physicians in East Setauket · All family medicine physicians in New York