PRAMILA GUPTA M.D.
NPI 1023010469
Internal Medicine in Easton, PA

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
3735 NAZARETH RD, SUITE 301, EASTON, PA 18045(610) 829-2200(610) 829-2211 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pramila Gupta M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAMILA GUPTA M.D. (NPI 1023010469) is an individual internal medicine provider in Easton, Pennsylvania, licensed in Pennsylvania (MD042080L) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1023010469
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRAMILA GUPTACredential: M.D.
Location Address3735 NAZARETH RD, SUITE 301Easton, PA 18045-8338
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Fax(610) 829-2211
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateAugust 15, 2005
Last NPPES UpdateMarch 2, 2016
NPI 1023010469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD042080L
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3735 NAZARETH RD, Easton, PA 18045

Other Identifiers 4

Other616146PA · Blue Shield
Medicare PIN616146U8GPA
Medicare UPIN616146QOEPA
Medicaid0012101920002PA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Pramila Gupta M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921102716
PECOS Enrollment IDI20070404000218
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
360 services199 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
173 services173 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
97 services94 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
92 services91 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services61 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
34 services16 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers42 claims92 services$4.79 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims12 services$0.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
3735 NAZARETH RD
EASTON, PA 18045
Surgery (Vascular Surgery)
3735 NAZARETH RD, SUITE 206
EASTON, PA 18045
Ophthalmology (Retina Specialist)
3735 NAZARETH RD, SUITE 205
EASTON, PA 18045
Durable Medical Equipment & Medical Supplies
3735 NAZARETH RD, SUITE 205
EASTON, PA 18045
Radiology (Diagnostic Radiology)
3735 NAZARETH RD, SUITE 206
EASTON, PA 18045
Family Medicine
3735 NAZARETH RD, SUITE 203
EASTON, PA 18045
Internal Medicine
3735 NAZARETH RD, SUITE 301
EASTON, PA 18045
Surgery (Vascular Surgery)
3735 NAZARETH RD, SUITE 206
EASTON, PA 18045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pramila Gupta's NPI number?

The NPI number for Pramila Gupta is 1023010469. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Pramila Gupta located?

Pramila Gupta practices at 3735 Nazareth Rd Suite 301, Easton, PA 18045. The listed phone number is (610) 829-2200.

What is Pramila Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pramila Gupta enrolled in Medicare?

Yes. Pramila Gupta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Pramila Gupta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Pramila Gupta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Pramila Gupta affiliated with any hospitals?

According to CMS data, Pramila Gupta is affiliated with St Luke's Warren Hospital, St Luke's Hospital Bethlehem, Lehigh Valley Hospital and Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Pramila Gupta was last updated on March 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.