DR. GAUTAM VANGIPURAM (M.D) – Retina Specialist (Ophthalmology) Physician, NPI 1780052233
Retina Specialist (Ophthalmology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
444 OPHTHALMOLOGY in MO
Provider Addresses for DR. GAUTAM VANGIPURAM (M.D)
1600 S BRENTWOOD BLVD STE 800
SAINT LOUIS, MO 631441317
Phone: (314) 367-1181
Type: Mailing
17 THE BOULEVARD SAINT LOUIS
SAINT LOUIS, MO 631171118
Phone: (314) 367-1181
Fax: (314) 968-5117
Type: Location
1900 W GARVEY AVE S UNIT 335
WEST COVINA, CA 917902656
Phone: (626) 305-9100
Fax: (626) 305-9150
Type: Mailing
2619 E COLORADO BLVD STE 150
PASADENA, CA 911073747
Phone: (626) 793-4168
Fax: (626) 793-6256
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $644.
Total Amount is formed as General ($644) + Research ($0) + Ownership ($0) = $644.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Astellas Pharma US Inc ($203).
Total Amount
$644
General + Research + Ownership
Payments
19
Total payment records
General Amount
$644
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-10-29
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 |
|---|---|---|---|---|
| I20211029000238 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| 92134 | Imaging of retina | 108 | 68 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 42 | $0 |
| 67028 | Injection of drug into eye | 37 | 24 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 33 | 33 | $0 |
| J9035 | Injection, bevacizumab, 10 mg | 28 | 15 | $0 |
Insurance plans in this area (ZIP 63144)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| - | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | WV |
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