VISHAL GUPTA (MD) – Gastroenterology Physician, NPI 1255449179
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,474 GASTROENTEROLOGY in FL
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Provider Addresses for VISHAL GUPTA (MD)
Wellness Avenue, Orange City, Volusia County, Florida, 32713, United States
ORANGE CITY, FL 327638427
Phone: (386) 668-2221
Fax: (386) 668-2228
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 135 Open Payments records for all available years, with a total value of $10,080.
Total Amount is formed as General ($10,080) + Research ($0) + Ownership ($0) = $10,080.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Medtronic, Inc. ($7,303).
Total Amount
$10,080
General + Research + Ownership
Payments
135
Total payment records
General Amount
$10,080
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $7,303 |
| ABBVIE INC. | $802 |
| Phathom Pharmaceuticals, Inc. | $658 |
| Janssen Biotech, Inc. | $282 |
| Olympus America Inc. | $163 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-11-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051115000768 | I | Gastroenterology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2,421 | 403 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 443 | 201 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 352 | 294 | $0 |
| 45384 | Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 239 | 230 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 227 | 164 | $0 |
Insurance plans in this area (ZIP 32763)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | FL | 45378 | Diagnostic examination of large bowel using an endoscope | 32 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Gastroenterology, Internal Medicine | FL | |
| Physician Assistant | FL | |
| Gastroenterology, Internal Medicine | FL |
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