DR. MITA GUPTA (O.D.) – Optometrist, NPI 1912977646
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,052 OPTOMETRY in VA
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Provider Addresses for DR. MITA GUPTA (O.D.)
13109 OAT CT
WOODBRIDGE, VA 221937010
Phone: (804) 929-6829
Type: Mailing
8912, Centreville Road, Manassas, Virginia, 20110, United States
MANASSAS, VA 201108455
Phone: (703) 361-6151
Fax: (703) 361-1750
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $833.
Total Amount is formed as General ($833) + Research ($0) + Ownership ($0) = $833.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Alcon Vision LLC ($149).
Total Amount
$833
General + Research + Ownership
Payments
11
Total payment records
General Amount
$833
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $149 |
| Optos, Inc. | $133 |
| Sun Pharmaceutical Industries Inc. | $118 |
| Sight Sciences, Inc. | $112 |
| CooperVision Inc. | $104 |
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: 2008-08-08
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 |
|---|---|---|---|---|
| I20080808000617 | I | Optometry | VA | 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 |
|---|---|---|---|---|
| 92250 | Photography of the retina | 93 | 91 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 44 | $0 |
| 92014 | Established patient complete exam of visual system | 56 | 55 | $0 |
| 92133 | Imaging of optic nerve | 31 | 27 | $0 |
| 92083 | Exam of visual field with extended testing | 23 | 20 | $0 |
Insurance plans in this area (ZIP 22193)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | VA |
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