DR. PRIYADARSHAN GUPTA M.D.
NPI 1104947662
Hospitalist in Wilkes Barre, PA

Q: What is Priyadarshan Gupta's NPI number?

The NPI number for Priyadarshan Gupta is 1104947662. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Q: What is Priyadarshan Gupta's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment

575 N RIVER ST, WILKES BARRE, PA 18764(570) 552-4450 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2020, Aug 25, 2020, Nov 18, 2019 and 1 more (4 updates tracked since 2016).

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About Dr. Priyadarshan Gupta M.d. NPPES

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

DR. PRIYADARSHAN GUPTA M.D. (NPI 1104947662) is an individual hospitalist provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD471232) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Lake City Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1104947662

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. PRIYADARSHAN GUPTACredential: M.D.

Location Address575 N RIVER STWilkes Barre, PA 18764-4550

Mailing Address237 E 28th St Apt 5bNew York, NY 10016-8593 · (917) 579-2284

Phone(570) 552-4450

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateApril 3, 2007

Last NPPES UpdateSeptember 2, 20204 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2020

✔ NPI 1104947662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in PA · MD471232✔ Licensed in MI · 4301502925✔ Licensed in NY · 237649

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 37739 (SC), MD036500 (DC), D0065591 (MD), 4301502925 (MI)

575 N RIVER ST, Wilkes Barre, PA 18764

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Secondary Practice Locations 5

Location 12101 Jefferson St, Kaiser Permanente Regional Office 2 EastRockville, MD 20851 · Phone (917) 579-2284

Location 2600 Northern BlvdAlbany, NY 12204-1004 · Phone (511) 847-1322

Location 32215 Burdett AveTroy, NY 12180-2466 · Phone (518) 271-3300

Location 4315 S Manning BlvdAlbany, NY 12208-1707 · Phone (518) 525-1550

Location 5850 W Baraga AveMarquette, MI 49855-4550 · Phone (906) 449-3000

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. Priyadarshan 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 ID8527128594

PECOS Enrollment IDI20210811003298, I20210922000961

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

192 services104 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

178 services97 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

135 services132 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

62 services61 patients

Hospital Affiliations CMS Care Compare 5

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

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100156

Location340 NW Commerce DrLake City, FL 32055 · Columbia County

Emergency services

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150023

Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County

Emergency services Birthing friendly

Terre Haute Regional Hospital

Acute Care Hospitals · Terre Haute, IN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number150046

Location3901 S Seventh StTerre Haute, IN 47802 · Vigo County

Emergency services Birthing friendly

Tristar Horizon Medical Center

Acute Care Hospitals · Dickson, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440046

Location111 Highway 70 EastDickson, TN 37055 · Dickson County

Emergency services Birthing friendly

Parkridge Medical Center

Acute Care Hospitals · Chattanooga, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440156

Location2333 Mccallie AveChattanooga, TN 37404 · Hamilton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18764 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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers26 claims26 services$17.79 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers30 claims30 services$81.73 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.

CHERYL CAREY NP

Nurse Practitioner