Doctor profile · Federal record
Dr. Otar Datiashvili, MD
Emergency Medicine Physician (CMS: Emergency Medicine) · Emergency Medicine Physician · Bloomington, IN
- NPI 1083096572
- Accepts Medicare
- MIPS 82.3 / 100 · 2023
- 18 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2651 E Discovery Pkwy
Bloomington, IN 474089059
(812) 353-9515
fax (812) 353-9275 - Additional location
-
60 Roberts Dr Ste 313
North Adams, MA 012473254
(413) 398-5509 - Mailing address
-
250 N Shadeland Ave
Indianapolis, IN 462194959
Credentials & registration
- NPI registered
- June 2015 — 11 yrs on file
- Profile last updated
- March 5, 2025
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State licenses (2)
- Indiana #01093706A · New York #273598-1
- Medicaid
- IN #03782025
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083096572. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
573
Distinct HCPCS
9
Medicare allowed
$71,611
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 186 | 178 | $187 | |
99284 |
Emergency department visit with moderate level of medical decision making | 174 | 165 | $127 | |
99283 |
Emergency department visit with low level of medical decision making | 49 | 49 | $76 | |
87804 |
Detection test by immunoassay with direct visual observation for influenza virus | 46 | 23 | $16 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 45 | 45 | $107 | |
87426 |
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 37 | 37 | $35 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 13 | 13 | $151 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $135 | |
99282 |
Emergency department visit with straightforward medical decision making | 11 | 11 | $46 |
In context: peer comparison
Among 14 peers in Bloomington Emergency Medicine Physician, average services per provider: 96. This provider delivers 6.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
203
Patients
199
Total drug cost
$1,768
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cephalexin | Generic | 49 | 48 | $337 |
| Prednisone | Generic | 26 | 26 | $41 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 23 | 23 | $230 |
| Azithromycin | Generic | 22 | 22 | $144 |
| Methylprednisolone | Generic | 16 | 15 | $169 |
| Cyclobenzaprine Hcl | Generic | 15 | 13 | $64 |
| Paxlovid (Eua) (Nirmatrelvir/Ritonavir) | Brand | 15 | 15 | $157 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 13 | 13 | $486 |
| Famotidine | Generic | 13 | 13 | $95 |
| Ondansetron Hcl | Generic | 11 | 11 | $45 |
Hospital affiliations
Frequently asked questions
What is Dr. Otar Datiashvili's medical specialty?
Dr. Otar Datiashvili practices Emergency Medicine Physician in Bloomington, IN.
Where does Dr. Otar Datiashvili practice?
Dr. Otar Datiashvili practices at 2651 E Discovery Pkwy, Bloomington, IN 474089059. Office phone: 8123539515.
What is Dr. Otar Datiashvili's NPI?
Dr. Otar Datiashvili's National Provider Identifier (NPI) is 1083096572, issued by NPPES.
Does Dr. Otar Datiashvili accept Medicare assignment?
Yes. Dr. Otar Datiashvili accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Otar Datiashvili commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with low level of medical decision making (HCPCS 99283). Source: CMS Medicare Physician & Other Practitioners file.