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DR. DILIP KUMAR SENGUPTA M.D.
NPI 1184656282
Orthopaedic Surgery in Mansfield, TX

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
1632 PICCADILLY CT, MANSFIELD, TX 76063(682) 333-0119(682) 333-0129 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Dilip Kumar Sengupta M.d. NPPES

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

DR. DILIP KUMAR SENGUPTA M.D. (NPI 1184656282) is an individual orthopaedic surgery provider in Mansfield, Texas, licensed in Texas (Q2386) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184656282
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DILIP KUMAR SENGUPTACredential: M.D.
Location Address1632 PICCADILLY CTMansfield, TX 76063-9154
Mailing Address1632 Piccadilly CtMansfield, TX 76063-9154 · (603) 369-1281 · Fax (682) 333-0129
Phone(682) 333-0119
Fax(682) 333-0129
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJuly 7, 2006
Last NPPES UpdateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
✔ NPI 1184656282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in TX · Q2386✔ Licensed in NH · 12405
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1632 PICCADILLY CT, Mansfield, TX 76063
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Secondary Practice Locations 2

Location 16407 S Cooper St Ste 113Arlington, TX 76001-5813 · Phone (682) 333-0119 · Fax (682) 333-0129
Location 22800 E Broad St Ste 512Mansfield, TX 76063-6417 · Phone (682) 333-0119 · Fax (682) 333-0129

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 Louisiana Healthcare Connections and more.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. Dilip Kumar Sengupta 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 ID1355314725
PECOS Enrollment IDI20141201000222
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

2

Medicare enrollment records show Dilip Sengupta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Center For Scoliosis And Advanced Spine Surgery
1.3 mi
Orthopaedic Surgery
2800 E BROAD ST, 512
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
NPI 1215392840 (603) 369-1281
Imed Physician Network, Inc.
17 mi
Interventional Pain Medicine
2700 W PLEASANT RUN RD STE 340
Lancaster, TX 75146
  • Reassigned Medicare billing, Texas enrollment
  • 70 clinicians in this Medicare group
NPI 1063809465 (972) 865-4454

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 2

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.
114 services47 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.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,503 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
30%178 patients1/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
37%1,136 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%520 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
8%525 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
9%32 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
14%318 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
93%258 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

SENGUPTA, PLLC
Anesthesiology
1632 PICCADILLY CT
MANSFIELD, TX 76063
Tarrant County (214) 227-2457
DR. PAPIYA SENGUPTA MD
Anesthesiology
1632 PICCADILLY CT
MANSFIELD, TX 76063
Tarrant County (214) 227-2457

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 Dilip Sengupta's NPI number?

The NPI number for Dilip Sengupta is 1184656282. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Dilip Sengupta located?

Dilip Sengupta practices at 1632 Piccadilly Ct, Mansfield, TX 76063. The listed phone number is (682) 333-0119.

What is Dilip Sengupta's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Dilip Sengupta enrolled in Medicare?

Yes. Dilip Sengupta 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 Dilip Sengupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dilip Sengupta reassigns Medicare benefits to 2 organizations: Center For Scoliosis And Advanced Spine Surgery (Mansfield, TX) and Imed Physician Network, Inc. (Lancaster, 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 Dilip Sengupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dilip Sengupta accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Dilip Sengupta 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 Dilip Sengupta affiliated with any hospitals?

According to CMS data, Dilip Sengupta is affiliated with Medical City Plano.

When was this NPI record last updated?

The NPPES record for Dilip Sengupta was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.