DR. KARAN GUPTA D.O
NPI 1104219161
Internal Medicine - Interventional Cardiology in Weatherford, TX

Active since March 13, 2015PECOS EnrolledAccepts Medicare Assignment
80.24/100
CMS Quality Rating
920 HILLTOP DR, WEATHERFORD, TX 76086(817) 334-2800(817) 820-0094 Get Directions Write a Review

NPPES record last updated: June 5, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Karan Gupta D.o NPPES

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

DR. KARAN GUPTA D.O (NPI 1104219161) is an individual interventional cardiology provider in Weatherford, Texas, licensed in Texas (T7229) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth, and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1104219161
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. KARAN GUPTACredential: D.O
Location Address920 HILLTOP DRWeatherford, TX 76086-5488
Mailing Address1017 12th AveFort Worth, TX 76104-3915 · (817) 334-2800 · Fax (817) 820-0094
Fax(817) 820-0094
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2015
Enumeration DateMarch 13, 2015
Last NPPES UpdateJune 5, 2022
NPPES CertifiedJune 5, 2022
✔ NPI 1104219161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in TX · T7229
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036156426 (IL), T7229 (TX)
920 HILLTOP DR, Weatherford, TX 76086

Secondary Practice Location 1

Location 11017 12th AveFort Worth, TX 76104-3915 · Phone (817) 334-2800 · Fax (817) 820-0094

Accepted 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

Dr. Karan Gupta D.o 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 ID3375837909
PECOS Enrollment IDI20220616002075
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 Reassignments

3

Medicare enrollment records show Karan Gupta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
920 HILLTOP DR
Weatherford, TX 76086
  • Reassigned Medicare billing, Texas enrollment
  • 19 clinicians in this Medicare group
Family Medicine
2973 W 7TH ST
Fort Worth, TX 76107
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
Cardiovascular Disease
1401 8TH AVENUE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group

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 24

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.
366 services205 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
182 services47 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
124 services110 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
107 services100 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
105 services105 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
100 services73 patients

Hospital Affiliations CMS Care Compare 4

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

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450137
Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County
Birthing friendly

Glen Rose Medical Center

Acute Care Hospitals · Glen Rose, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450451
Location1021 Holden StreetGlen Rose, TX 76043 · Somervell County
Emergency services

Lake Granbury Medical Center

Acute Care Hospitals · Granbury, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450596
Location1310 Paluxy RdGranbury, TX 76048 · Hood County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450851
Location621 North Hall StreetDallas, TX 75226 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76086 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

80.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.51
Promoting Interoperability100
Improvement Activities40
Cost48.65

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Acute Care)
920 HILLTOP DR
WEATHERFORD, TX 76086
Internal Medicine (Cardiovascular Disease)
920 HILLTOP DR
WEATHERFORD, TX 76086
Physician Assistant (Medical)
920 HILLTOP DR
WEATHERFORD, TX 76086
Internal Medicine (Cardiovascular Disease)
920 HILLTOP DR
WEATHERFORD, TX 76086
Nurse Practitioner (Acute Care)
920 HILLTOP DR
WEATHERFORD, TX 76086
Physician Assistant
920 HILLTOP DR
WEATHERFORD, TX 76086
Internal Medicine (Cardiovascular Disease)
920 HILLTOP DR
WEATHERFORD, TX 76086

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 Karan Gupta's NPI number?

The NPI number for Karan Gupta is 1104219161. It was assigned to this individual provider in the NPPES registry on March 13, 2015.

Where is Karan Gupta located?

Karan Gupta practices at 920 Hilltop Dr, Weatherford, TX 76086. The listed phone number is (817) 334-2800.

What is Karan Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Karan Gupta enrolled in Medicare?

Yes. Karan 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 organizations bill Medicare for Karan Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karan Gupta reassigns Medicare benefits to 3 organizations: Heart Center Of North Texas, PA (Weatherford, TX), Healthtexas Provider Network (Fort Worth, TX) and Makd Heart & Vascular LLC (Fort Worth, TX). Each 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 Karan Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karan Gupta accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Oscar Insurance Company and WellPoint list Karan 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 Karan Gupta affiliated with any hospitals?

According to CMS data, Karan Gupta is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth, Glen Rose Medical Center, Lake Granbury Medical Center and Baylor Scott & White Heart & Vascular Hospital - Dallas.

When was this NPI record last updated?

The NPPES record for Karan Gupta was last updated on June 5, 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.