SACHIN GUPTA MD
NPI 1154598696
Otolaryngology in Seattle, WA

Active since May 14, 2008PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
600 BROADWAY STE 200, SEATTLE, WA 98122(206) 215-1770(206) 215-1771 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2022, Jan 3, 2017 (2 updates tracked since 2017).

About Sachin Gupta Md NPPES

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

SACHIN GUPTA MD (NPI 1154598696) is an individual otolaryngology provider in Seattle, Washington, licensed in Washington (MD61298412) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center / Cherry Hill, and is a graduate of Icahn School Of Medicine At Mount Sinai (2008).

NPPES Registry Identity

NPI1154598696
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameSACHIN GUPTACredential: MD
Location Address600 BROADWAY STE 200Seattle, WA 98122-5373
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Fax(206) 215-1771
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2008
Enumeration DateMay 14, 2008
Last NPPES UpdateDecember 2, 20222 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
NPI 1154598696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in WA · MD61298412
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
600 BROADWAY STE 200, Seattle, WA 98122

Other Identifiers 1

Medicaid2214837WA

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

Sachin 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 ID9739403684
PECOS Enrollment IDI20220823002806
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
166 services117 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
126 services126 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.
108 services96 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
84 services66 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
77 services77 patients
Incision of fluid canal of inner ear with infusion of drugs 69801
This procedure involves making a small cut in the inner ear's fluid canal. Medication is then infused directly into this area. It's often used to treat certain ear conditions or hearing issues. Rest assured, it's done under professional supervision.
27 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500152
Location751 NE Blakely DrIssaquah, WA 98029 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98122 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

Other Providers at the Same Location NPPES 9

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

Otolaryngology
600 BROADWAY STE 200
SEATTLE, WA 98122
Otolaryngology
600 BROADWAY STE 200
SEATTLE, WA 98122
Speech-Language Pathologist
600 BROADWAY STE 200
SEATTLE, WA 98122
Physician Assistant
600 BROADWAY STE 200
SEATTLE, WA 98122
Psychiatry & Neurology (Neurology)
600 BROADWAY STE 200
SEATTLE, WA 98122
Physician Assistant
600 BROADWAY STE 200
SEATTLE, WA 98122
Otolaryngology
600 BROADWAY STE 200
SEATTLE, WA 98122
Audiologist
600 BROADWAY STE 200
SEATTLE, WA 98122

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 Sachin Gupta's NPI number?

The NPI number for Sachin Gupta is 1154598696. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Sachin Gupta located?

Sachin Gupta practices at 600 Broadway Ste 200, Seattle, WA 98122. The listed phone number is (206) 215-1770.

What is Sachin Gupta's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Sachin Gupta enrolled in Medicare?

Yes. Sachin 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 Sachin Gupta accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sachin 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 Sachin Gupta affiliated with any hospitals?

According to CMS data, Sachin Gupta is affiliated with Swedish Medical Center / Cherry Hill, Swedish Medical Center and Swedish Issaquah.

When was this NPI record last updated?

The NPPES record for Sachin Gupta was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.