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

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: August 02, 2026.

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

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
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

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

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

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 IDI20041129000821
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 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

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
Quality100
Promoting Interoperability97
Improvement Activities40

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.

Ophthalmology
5150 N DAVIS HWY
PENSACOLA, FL 32503
Ophthalmology (Retina Specialist)
5150 N DAVIS HWY
PENSACOLA, FL 32503
Ophthalmology
5150 N DAVIS HWY
PENSACOLA, FL 32503
Ophthalmology (Retina Specialist)
5150 N DAVIS HWY
PENSACOLA, FL 32503

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.

What insurance does Sunil Gupta accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Ambetter of Tennessee and 7 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.