DR. SHUBHAM GUPTA (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician, NPI 1578726477
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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Profile Insights
NPPES metrics only — not quality of care.
568 UROLOGY in OH
Provider Addresses for DR. SHUBHAM GUPTA (M.D.)
800, Rose Street, Academic Core, Lexington, Fayette County, Kentucky, 40506, United States
MS235
LEXINGTON, KY 405360001
Phone: (859) 218-5771
Fax: (859) 323-1944
Type: Mailing
272 Hospital Rd Ste 260
Chillicothe, OH 456019031
Phone: (740) 779-4370
Type: Location
11100 EUCLID AVE STE 4554
CLEVELAND, OH 441061716
Phone: (216) 285-5036
Fax: (859) 323-1944
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $3,544.
Total Amount is formed as General ($3,544) + Research ($0) + Ownership ($0) = $3,544.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Kerecis Limited ($2,263).
Total Amount
$3,544
General + Research + Ownership
Payments
29
Total payment records
General Amount
$3,544
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $2,263 |
| Aroa Biosurgery Incorporated | $360 |
| COLOPLAST CORP | $183 |
| BIOTISSUE HOLDINGS INC. | $130 |
| BIOTISSUE HOLDINGS, INC. | $124 |
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: 2020-01-17
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 |
|---|---|---|---|---|
| I20200117001958 | I | Urology | OH | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 38 | 31 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 25 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 21 | 20 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 18 | 18 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 40536)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | MI | |
| Hospitalist, Internal Medicine | OH | |
| - | TX | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| - | OH | |
| - | OH |
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