ANIL KUMAR GUPTA (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1881861243
Sports Medicine (Orthopaedic Surgery) Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,346 ORTHOPEDIC SURGERY in OH
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Provider Addresses for ANIL KUMAR GUPTA (MD)
North Reynolds Road, Toledo, Lucas County, Ohio, 43615, United States
TOLEDO, OH 436152068
Phone: (419) 578-7200
Fax: (419) 537-5604
Type: Mailing
333 N SUMMIT ST FL 7
TOLEDO, OH 436041531
Phone: (419) 578-7200
Fax: (419) 537-5604
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $861.
Total Amount is formed as General ($861) + Research ($0) + Ownership ($0) = $861.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Eli Lilly and Company ($677).
Total Amount
$861
General + Research + Ownership
Payments
7
Total payment records
General Amount
$861
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
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: 2014-09-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (982 days ago).
Enrollment records
1
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| I20140905000710 | I | Orthopedic Surgery | OH | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 858 | 96 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 226 | 143 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 214 | 105 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 116 | 74 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 42 | $0 |
Insurance plans in this area (ZIP 43615)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | OH | 20610 | Aspiration and/or injection of large joint or joint capsule | 131 | 74 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | OH | |
| - | OH |
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