DR. SAMIR K. GUPTA (M.D.) – Surgery Physician, NPI 1073542585
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
729 GENERAL SURGERY in IN
Provider Addresses for DR. SAMIR K. GUPTA (M.D.)
801 Saint Marys Dr Ste 200E
Evansville, IN 477140518
Phone: (812) 424-8231
Fax: (812) 435-8794
Type: Location
100 St Marys Epworth Xing Ste A400
Newburgh, IN 476309497
Phone: (812) 424-8231
Fax: (812) 435-8974
Type: Location
4133 Gateway Blvd Ste 290
Newburgh, IN 476307918
Phone: (812) 424-8231
Fax: (812) 435-8794
Type: Location
1001, Main Street, Roanoke-Randolph Street Historic District, Peoria, Peoria County, Illinois, 61606, United States
SUITE 300
PEORIA, IL 61606
Phone: (309) 495-0200
Fax: (309) 676-6545
Type: Mailing
520 MARY ST STE 520
EVANSVILLE, IN 477101682
Phone: (812) 424-8231
Fax: (812) 435-8794
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $3,892.
Total Amount is formed as General ($3,892) + Research ($0) + Ownership ($0) = $3,892.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,516).
Total Amount
$3,892
General + Research + Ownership
Payments
21
Total payment records
General Amount
$3,892
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $3,516 |
| Ethicon US, LLC | $188 |
| CONMED Corporation | $50 |
| Medtronic, Inc. | $45 |
| PolyNovo North America LLC | $37 |
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: 2024-07-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20101217000833 | I | General Surgery | IL | TBD |
| I20210803000913 | I | General Surgery | IN | TBD |
| I20240709002232 | I | General Surgery | KY | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 109 | 109 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 100 | 63 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 98 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 37 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 32 | 32 | $0 |
Insurance plans in this area (ZIP 47714)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NM | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| - | IN | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| General Surgery | TN |
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