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GIRIRAJ GUPTA M.D.
NPI 1194916213
Orthopaedic Surgery in Manchester, KY

Active since August 05, 2007PECOS EnrolledAccepts Medicare Assignment
120 MARIE LANGDON DR, SUITE 1, MANCHESTER, KY 40962(606) 598-4529(606) 599-2529 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Giriraj Gupta M.d. NPPES

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

GIRIRAJ GUPTA M.D. (NPI 1194916213) is an individual orthopaedic surgery provider in Manchester, Kentucky, licensed in Kentucky (42230) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1194916213
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameGIRIRAJ GUPTACredential: M.D.
Location Address120 MARIE LANGDON DR, SUITE 1Manchester, KY 40962-6352
Mailing Address509 Memorial Dr, Suite 2Manchester, KY 40962-6195 · (606) 598-5104 · Fax (606) 598-0983
Phone(606) 598-4529
Fax(606) 599-2529
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 5, 2007
Last NPPES UpdateOctober 13, 2015
✔ NPI 1194916213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in KY · 42230
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.
120 MARIE LANGDON DR, Manchester, KY 40962
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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

Giriraj 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 ID2264596303
PECOS Enrollment IDI20090204000186
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

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.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

Manchester Memorial Hospital

Acute Care Hospitals · Manchester, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number180043
Location210 Marie Langdon DriveManchester, KY 40962 · Clay County
Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40962 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier16 claims16 services$29.12 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 3

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

JENNY J SUNG MD
Surgery
120 MARIE LANGDON DR
MANCHESTER, KY 40962
Clay County (606) 598-0328
MEMORIAL HOSPITAL, INC.
Surgery
120 MARIE LANGDON DR
MANCHESTER, KY 40962
Clay County (606) 598-5104
MEMORIAL HOSPITAL
Orthopaedic Surgery
120 MARIE LANGDON DR, SUITE 2
MANCHESTER, KY 40962
Clay County (606) 598-4529

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 Giriraj Gupta's NPI number?

The NPI number for Giriraj Gupta is 1194916213. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Giriraj Gupta located?

Giriraj Gupta practices at 120 Marie Langdon Dr Suite 1, Manchester, KY 40962. The listed phone number is (606) 598-4529.

What is Giriraj Gupta's specialty?

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

Is Giriraj Gupta enrolled in Medicare?

Yes. Giriraj 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.

Is Giriraj Gupta affiliated with any hospitals?

According to CMS data, Giriraj Gupta is affiliated with Saint Joseph London, Manchester Memorial Hospital and Baptist Health Corbin.

When was this NPI record last updated?

The NPPES record for Giriraj Gupta was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.