PRAGYA GUPTA MD
NPI 1124331988
Internal Medicine - Pulmonary Disease in Plano, TX

Q: What is Pragya Gupta's NPI number?

The NPI number for Pragya Gupta is 1124331988. It was assigned to this individual provider in the NPPES registry on July 22, 2010.

Q: What is Pragya Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Pragya Gupta was last updated on February 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 22, 2010PECOS EnrolledAccepts Medicare Assignment

18.15/100

CMS Quality Rating

1708 COIT RD, PLANO, TX 75075(214) 919-0757(972) 437-8004 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2020, Mar 17, 2018, Nov 15, 2017 (3 updates tracked since 2017).

On this page

About Pragya Gupta Md NPPES

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

PRAGYA GUPTA MD (NPI 1124331988) is an individual pulmonary disease provider in Plano, Texas, licensed in Texas (S1406) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1124331988

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NamePRAGYA GUPTACredential: MD

Location Address1708 COIT RDPlano, TX 75075-5024

Mailing Address13737 Noel Rd Ste 1600Dallas, TX 75240-1374 · (972) 204-5264 · Fax (866) 204-8511

Phone(214) 919-0757

Fax(972) 437-8004

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 22, 2010

Last NPPES UpdateFebruary 3, 20203 updates tracked since enumeration

✔ NPI 1124331988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in TX · S1406✔ Licensed in NY · 275360

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 275360 (NY)

1708 COIT RD, Plano, TX 75075

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Secondary Practice Location 1

Location 11111 Amsterdam AveNew York, NY 10025-1716 · Phone (212) 523-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State 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

Pragya 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 ID9032339148

PECOS Enrollment IDI20190708000967

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.

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.

563 services241 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.

512 services148 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

133 services133 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

131 services131 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

126 services126 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.

104 services98 patients

Hospital Affiliations CMS Care Compare 5

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

Texoma Medical Center

Acute Care Hospitals · Denison, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450324

Location5016 S Us Highway 75Denison, TX 75020 · Grayson County

Emergency services Birthing friendly

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450352

Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County

Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450651

Location3901 W 15th StPlano, TX 75075 · Collin County

Emergency services Birthing friendly

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number670025

Location1100 Allied DrivePlano, TX 75093 · Collin County

Emergency services

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670082

Location5252 West University DriveMc Kinney, TX 75071 · Collin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75075 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.

18.15/100

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

Individually scored

Quality

Improvement Activities

Cost

60.52

Referred Medical Equipment & Supplies CMS DME claims 23

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

10 suppliers65 claims65 services$33.56 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

10 suppliers48 claims48 services$74.76 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

10 suppliers47 claims138 services$28.55 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

7 suppliers20 claims113 services$19.36 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

7 suppliers28 claims153 services$14.06 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

12 suppliers53 claims53 services$50.83 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

17 suppliers63 claims63 services$15.18 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

11 suppliers27 claims27 services$10.92 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

17 suppliers95 claims519 services$1.93 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

12 suppliers35 claims35 services$11.57 avg. paid by Medicare

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

DME-Oxygen and Supplies · category DC000N

7 suppliers73 claims74 services$14.79 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers13 claims13 services$34.64 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier21 claims22 services$910.88 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

4 suppliers26 claims26 services$79.68 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

5 suppliers64 claims67 services$12.20 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

9 suppliers111 claims114 services$29.37 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

13 suppliers194 claims196 services$63.34 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers65 claims65 services$30.98 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

11 suppliers22 claims4,800 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

11 suppliers32 claims3,402 services$0.81 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$29.28 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

7 suppliers17 claims17 services$26.09 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 90 days Q0514

DME-Other DME · category DE000N

11 suppliers17 claims17 services$49.38 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.

PREVENTATIVE AND THERAPEUTIC CARDIOVASCULAR ASSOCIATES

Clinic/Center (Medical Specialty)

1708 COIT RD, SUITE 220-B
PLANO, TX 75075

Collin County (972) 596-6400

VANESSA ENRIQUEZ RD, LD, CDE

Dietitian, Registered

1708 COIT RD, STE 100
PLANO, TX 75075

Collin County (469) 467-9499

DIABETESAMERICA

Clinic/Center

1708 COIT RD, SUITE 100
PLANO, TX 75075

Collin County (469) 467-0400

KAYLIE LOOSE LPC

Counselor (Professional)

1708 COIT RD
PLANO, TX 75075

Collin County (469) 253-5877

DR. VAN MILLER MD PHD

Pediatrics (Neurodevelopmental Disabilities)

1708 COIT RD, SUITE 150
PLANO, TX 75075

Collin County (972) 769-9000

JALISA THOMAS

Behavior Technician

1708 COIT RD
PLANO, TX 75075

Collin County (469) 825-4649

MS. JODI MORAVEC MS, RD,LD, CDE,BCADM

Dietitian, Registered

1708 COIT RD, SUITE 100
PLANO, TX 75075

Collin County (469) 467-0400

KYLE M SHADLE CRNA

Nurse Anesthetist, Certified Registered

1708 COIT RD, SUITE 220A
PLANO, TX 75075

Collin County (972) 596-6400

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 Pragya Gupta's NPI number?

The NPI number for Pragya Gupta is 1124331988. It was assigned to this individual provider in the NPPES registry on July 22, 2010.

Where is Pragya Gupta located?

Pragya Gupta practices at 1708 Coit Rd, Plano, TX 75075. The listed phone number is (214) 919-0757.

What is Pragya Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Pragya Gupta enrolled in Medicare?

Yes. Pragya 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 Pragya Gupta accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and Ambetter from Sunflower Health Plan and 6 other insurers list Pragya 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 Pragya Gupta affiliated with any hospitals?

According to CMS data, Pragya Gupta is affiliated with Texoma Medical Center, Hunt Regional Medical Center, Medical City Plano, Baylor Scott & White The Heart Hospital - Plano and Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Pragya Gupta was last updated on February 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.