PRAGYA B GUPTA (MD) – Interventional Pain Medicine Physician, NPI 1740243609
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,371 ANESTHESIOLOGY in CA
Provider Addresses for PRAGYA B GUPTA (MD)
PO BOX 17516
COVINGTON, KY 410170516
Phone: (859) 331-4159
Fax: (859) 331-4163
Type: Mailing
69780 Stellar Dr Ste A
Rancho Mirage, CA 922702954
Phone: (760) 424-3380
Fax: (760) 424-3375
Type: Location
1955 CITRACADO PKWY STE 203
ESCONDIDO, CA 920294112
Phone: (760) 738-5533
Fax: (760) 738-5533
Type: Mailing
162, Barnwood Drive, Edgewood, Kenton County, Kentucky, 41017, United States
EDGEWOOD, KY 410172501
Phone: (859) 331-4159
Fax: (859) 331-4163
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $110,719.
Total Amount is formed as General ($323) + Research ($110,396) + Ownership ($0) = $110,719.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Orexo US, Inc. ($110,396).
Total Amount
$110,719
General + Research + Ownership
Payments
22
Total payment records
General Amount
$323
General payments
Research Amount
$110,396
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Orexo US, Inc. | $110,396 |
| Collegium Pharmaceutical, Inc. | $188 |
| Saluda Medical Americas, Inc. | $30 |
| SI-BONE, INC. | $21 |
| Azurity Pharmaceuticals, Inc. | $20 |
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: 2023-03-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040616000308 | I | Interventional Pain Management | KY | TBD |
| I20230330000998 | I | Pain Management | CA | 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 |
|---|---|---|---|---|
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 323 | 58 | $0 |
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 211 | 70 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 163 | 138 | $0 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 103 | 13 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 92 | 83 | $0 |
Insurance plans in this area (ZIP 41017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation, Pain Management | AZ | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| Clinical Psychologist | CA | |
| - | CA | |
| Neurology, Pain Management | CA |
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