Quick answers
- Does Gayane Koshkakaryan accept Medicare assignment?
- Yes. Medicare's clinician data says Gayane Koshkakaryan accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Gayane Koshkakaryan see?
- In 2024, CMS data shows 335 Original Medicare patients and 1,643 services for Gayane Koshkakaryan. This counts Original Medicare only and measures volume, not quality.
- What is Gayane Koshkakaryan's NPI number?
- 1336645209. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Gayane Koshkakaryan, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 335 |
|---|---|
| Services billed to Medicare | 1,643 |
| Different services or procedures | 41 |
| Participating Medicare provider | Yes |
| Average age of these patients | 77 |
Most frequent services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)715 services
- Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)184 services
- Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (99490)118 services
- Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (99439)99 services
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (G0439)95 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Arthritis39%
- Ischemic heart disease35%
- Diabetes31%
- Chronic kidney disease30%
Hospitals where Gayane Koshkakaryan works
Medicare's Facility Affiliation Data lists Gayane Koshkakaryan at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Clovis Community Medical CenterClovis, CA · Acute Care Hospital · Medicare rating: 2 of 5 stars · Emergency services: listed by Medicare · CCN 050492
- Saint Agnes Medical CenterFresno, CA · Acute Care Hospital · Medicare rating: 2 of 5 stars · Emergency services: listed by Medicare · CCN 050093
Practice locations
Addresses where Gayane Koshkakaryan is enrolled with Medicare (CMS data updated October 2, 2026).
- 1221 E Spruce AveFresno, CA 93720 (559) 450‑5777
- 4770 W Herndon AveFresno, CA 93722
Group practices
Medicare enrollment lists Gayane Koshkakaryan as a member of this group (CMS data updated October 2, 2026).
- Saint Agnes Medical Foundation161 clinicians in the group
Specialties
- Family Practiceprimary
Other family doctors in Fresno
Clinicians with the same Medicare primary specialty in Fresno, CA — not a recommendation.
Other clinicians in Saint Agnes Medical Foundation
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | DO |
|---|---|
| Medical school | Touro Un College Of Osteopathic Medicine, Vallejo |
| Graduation year | 2018 (8 years since medical school) |
| Gender (as listed) | Female |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| Telehealth | Offers telehealth services |
| NPI (National Provider Identifier) | 1336645209 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians