SUNIL GUPTA M.D.
NPI 1063489383
Ophthalmology - Retina Specialist in Pensacola, FL

Q: What is Sunil Gupta's NPI number?

The NPI number for Sunil Gupta is 1063489383. It was assigned to this individual provider in the NPPES registry on March 6, 2006.

Q: What is Sunil Gupta's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Sunil Gupta was last updated on February 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 06, 2006PECOS EnrolledAccepts Medicare Assignment

99.1/100

CMS Quality Rating

5150 N DAVIS HWY, PENSACOLA, FL 32503(850) 476-6759(850) 484-5222 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2018, Nov 7, 2017 (2 updates tracked since 2017).

On this page

About Sunil Gupta M.d. NPPES

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

SUNIL GUPTA M.D. (NPI 1063489383) is an individual retina specialist in Pensacola, Florida, licensed in Florida (ME66379) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1988).

NPPES Registry Identity

NPI1063489383

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameSUNIL GUPTACredential: M.D.

Location Address5150 N DAVIS HWYPensacola, FL 32503-2030

Mailing Address5150 N Davis HwyPensacola, FL 32503-2030 · (850) 476-6759 · Fax (850) 484-5222

Phone(850) 476-6759

Fax(850) 484-5222

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1988

Enumeration DateMarch 6, 2006

Last NPPES UpdateFebruary 21, 20182 updates tracked since enumeration

✔ NPI 1063489383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

Licenses✔ Licensed in FL · ME66379✔ Licensed in AL · MD.18753

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License MD.18753 (AL), ME66379 (FL)

5150 N DAVIS HWY, Pensacola, FL 32503

Open in Google Maps ↗

Other Identifiers 16

OtherME66379FL · Medical License

Medicaid009976780AL

Other051038373AL · Bcbs

Other4534648Aetna

Medicaid000038373AL

Medicaid009935465AL

Other3007538TN · Bcbs

Other5381541Cigna

Other059036515AL · Bcbs

Other059156733AL · Bcbs

Medicaid009977830AL

Medicaid375444800FL

OtherMD.18753AL · Medical License

Other051025664AL · Bcbs

Other25426FL · Bcbs

Medicaid009976770AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sunil 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 ID7012803836

PECOS Enrollment IDI20040301000832, I20041129000821

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.

Medicare Billing Reassignment

Medicare enrollment records show Sunil Gupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sunil Gupta MD LLC

Same address

Ophthalmology

5150 N DAVIS HWY
Pensacola, FL 32503

Reassigned Medicare billing, Alabama and Florida enrollments
8 clinicians in this Medicare group

NPI 1588610075 (850) 476-6759

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 27

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

93,603 services309 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

6,393 services1,096 patients

Injection, ranibizumab, 0.1 mg J2778

Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.

6,240 services253 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

5,673 services1,753 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

5,402 services1,490 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

5,196 services482 patients

Injection, dexamethasone, intravitreal implant, 0.1 mg J7312

This procedure involves placing a tiny implant into your eye. This implant slowly releases a medication called dexamethasone, which helps to reduce inflammation and swelling in the eye, improving vision and comfort.

1,400 services70 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

570 services479 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

479 services417 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

383 services361 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

253 services109 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.

206 services173 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

146 services94 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

142 services142 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

135 services128 patients

Unclassified drugs J3490

Unclassified drugs are medications that don't fit into an existing category or class due to their unique properties or uses. They may be used for various conditions and their effects may differ widely. Always ask your healthcare provider for more information about these drugs.

114 services92 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

92 services19 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

85 services81 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

74 services74 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

72 services72 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

30 services29 patients

Injection, ceftazidime, per 500 mg J0713

Ceftazidime is an antibiotic administered via injection to treat a wide range of bacterial infections. Each injection contains 500 mg of the medicine, which works by stopping the growth of bacteria. This helps your body to fight off the infection.

27 services14 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

23 services22 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

21 services21 patients

Injection of drug or substance into membrane covering eyeball 67515

This procedure involves injecting medication into the membrane covering your eyeball, known as the conjunctiva. It's done to treat various eye conditions. A specialist will numb your eye first to minimize discomfort. You may experience temporary blurred vision afterwards.

14 services12 patients

Injection, vancomycin hcl, 500 mg J3370

Vancomycin HCL is an antibiotic used to treat severe infections caused by certain types of bacteria. The 500 mg dose is typically administered via injection by a healthcare professional to fight the infection effectively.

14 services14 patients

Repair of detached retina by injection of air or gas 67110

This procedure involves injecting a bubble of air or gas into the eye to help reattach a detached retina. The bubble pushes against the retina, helping it reposition against the back wall of the eye, facilitating healing.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baptist Hospital

Acute Care Hospitals · Pensacola, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100093

Location123 Baptist WayPensacola, FL 32503 · Escambia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32503 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 4

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

DR. AHMET OZKOK M.D.

Ophthalmology

5150 N DAVIS HWY
PENSACOLA, FL 32503

Escambia County (850) 476-6759

DR. RYAN M TARANTOLA MD

Ophthalmology (Retina Specialist)

5150 N DAVIS HWY
PENSACOLA, FL 32503

Escambia County (850) 476-6759

SUNIL GUPTA MD LLC

Ophthalmology

5150 N DAVIS HWY
PENSACOLA, FL 32503

Escambia County (850) 476-6759

JOHN P. MYERS M.D.

Ophthalmology (Retina Specialist)

5150 N DAVIS HWY
PENSACOLA, FL 32503

Escambia County (850) 476-6759

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 Sunil Gupta's NPI number?

The NPI number for Sunil Gupta is 1063489383. It was assigned to this individual provider in the NPPES registry on March 6, 2006.

Where is Sunil Gupta located?

Sunil Gupta practices at 5150 N Davis Hwy, Pensacola, FL 32503. The listed phone number is (850) 476-6759.

What is Sunil Gupta's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Sunil Gupta enrolled in Medicare?

Yes. Sunil 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.

Which organization bills Medicare for Sunil Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunil Gupta reassigns Medicare benefits to Sunil Gupta MD LLC (Pensacola, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sunil Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunil Gupta accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 12 other insurers list Sunil 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 Sunil Gupta affiliated with any hospitals?

According to CMS data, Sunil Gupta is affiliated with Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Sunil Gupta was last updated on February 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.