GAURAV GUPTA (M.D.) – Ophthalmology Physician, NPI 1366559114
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
89 OPHTHALMOLOGY in RI
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Provider Addresses for GAURAV GUPTA (M.D.)
150, East Manning Street, Wayland, Providence, Providence County, Rhode Island, 02906, United States
PROVIDENCE, RI 029065109
Phone: (401) 272-2020
Fax: (401) 421-5979
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $839.
Total Amount is formed as General ($839) + Research ($0) + Ownership ($0) = $839.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($448).
Total Amount
$839
General + Research + Ownership
Payments
34
Total payment records
General Amount
$839
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
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: 2009-12-08
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 |
|---|---|---|---|---|
| I20091007000739 | I | Ophthalmology | MA | TBD |
| I20091208000539 | I | Ophthalmology | RI | 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 |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 2,206 | 181 | $0 |
| 92134 | Imaging of retina | 2,118 | 779 | $0 |
| 67028 | Injection of drug into eye | 1,227 | 221 | $0 |
| 92014 | Established patient complete exam of visual system | 991 | 627 | $0 |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 113 | 110 | $0 |
Insurance plans in this area (ZIP 02906)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | RI | |
| O P T O M E T R Y | RI | |
| O P H T H A L M O L O G Y | RI | |
| O P H T H A L M O L O G Y | RI | |
| O P H T H A L M O L O G Y | RI | |
| O P T O M E T R Y | RI | |
| O P T O M E T R Y | RI | |
| O P H T H A L M O L O G Y | RI | |
| O P T O M E T R Y | CT | |
| O P T O M E T R Y | RI |
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