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DR. ASHIMA KUMAR GUPTA MD
NPI 1073509592
Ophthalmology in Louisville, KY

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
77.46/100
CMS Quality Rating
4940 HAZELWOOD AVE, LOUISVILLE, KY 40214(502) 368-3937(502) 368-0231 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ashima Kumar Gupta Md NPPES

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

DR. ASHIMA KUMAR GUPTA MD (NPI 1073509592) is an individual ophthalmology provider in Louisville, Kentucky, licensed in Kentucky (39832) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2000).

NPPES Registry Identity

NPI1073509592
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. ASHIMA KUMAR GUPTACredential: MD
Location Address4940 HAZELWOOD AVELouisville, KY 40214-1270
Mailing Address1279 Cherokee RdLouisville, KY 40204-2204 · (202) 494-8423
Phone(502) 368-3937
Fax(502) 368-0231
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 2000
Enumeration DateSeptember 20, 2005
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1073509592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in KY · 39832
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X · License 39832 (KY)
4940 HAZELWOOD AVE, Louisville, KY 40214
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Other Identifiers 1

Medicaid7100267370KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Dr. Ashima Kumar Gupta Md 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 ID8921100066
PECOS Enrollment IDI20131003000109
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 9

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.

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.
205 services75 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.
128 services24 patients
Unclassified biologics J3590
Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.
122 services23 patients
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.
111 services74 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.
59 services58 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
33 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40214 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

77.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost24.88

Other Providers at the Same Location NPPES 5

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

KENTUCKY OPTICAL COMPANY LLC
Eyewear Supplier
4940 HAZELWOOD AVE
LOUISVILLE, KY 40214
Jefferson County (502) 367-2010
DR. RISHI VERMA KUMAR MD
Ophthalmology
4940 HAZELWOOD AVE
LOUISVILLE, KY 40214
Jefferson County (502) 368-3937
SUSHIL V KUMAR MD
Ophthalmology
4940 HAZELWOOD AVE
LOUISVILLE, KY 40214
Jefferson County (502) 368-3937
GUOMIN JIANG OD
Optometrist
4940 HAZELWOOD AVE
LOUISVILLE, KY 40214
Jefferson County (502) 368-3937
MICHAEL SCOTT BARR P.T.
Physical Therapist
4940 HAZELWOOD AVE
LOUISVILLE, KY 40214
Jefferson County (502) 368-9454

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 Ashima Gupta's NPI number?

The NPI number for Ashima Gupta is 1073509592. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Ashima Gupta located?

Ashima Gupta practices at 4940 Hazelwood Ave, Louisville, KY 40214. The listed phone number is (502) 368-3937.

What is Ashima Gupta's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ashima Gupta enrolled in Medicare?

Yes. Ashima 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 Ashima Gupta accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Montana and 2 other insurers list Ashima 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.

When was this NPI record last updated?

The NPPES record for Ashima Gupta was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.