DR. PAVAN KUMAR GUPTA (MD) – Cardiovascular Disease Physician, NPI 1861519563
Cardiovascular Disease Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL
Provider Addresses for DR. PAVAN KUMAR GUPTA (MD)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 622691282
Phone: (618) 233-6044
Fax: (833) 973-4218
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 1 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2024-03-27 • Largest payer in this snapshot: PFIZER INC. ($32).
Total Amount
$32
General + Research + Ownership
Payments
1
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $32 |
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: 2012-10-09
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 |
|---|---|---|---|---|
| I20121009000432 | I | Cardiovascular Disease (Cardiology) | IL | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 982 | 734 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 837 | 651 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 399 | 385 | $0 |
| 93296 | Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 168 | 65 | $0 |
| 85610 | Blood test, clotting time | 163 | 18 | $0 |
Insurance plans in this area (ZIP 62269)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 85610 | Blood test, clotting time | 505 | 136 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 826 | 644 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 75 | 69 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MO | |
| Cardiovascular Disease (Cardiology), Internal Medicine | PA | |
| - | IL | |
| Interventional Cardiology | MI | |
| Interventional Cardiology | MO | |
| Vascular Surgery | IL | |
| Nurse Practitioner | IL | |
| Cardiovascular Disease (Cardiology) | IL |
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