DR. VIKAS GUPTA MD
NPI 1255613527
Family Medicine in Montgomery, AL

Q: What is Vikas Gupta's NPI number?

The NPI number for Vikas Gupta is 1255613527. It was assigned to this individual provider in the NPPES registry on September 13, 2011.

Q: What is Vikas Gupta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Vikas Gupta was last updated on January 6, 2023. 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.

Active since September 13, 2011PECOS EnrolledAccepts Medicare Assignment

95.62/100

CMS Quality Rating

4371 NARROW LANE RD, SUITE 100, MONTGOMERY, AL 36116(334) 613-3680(334) 613-3685 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Vikas Gupta Md NPPES

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

DR. VIKAS GUPTA MD (NPI 1255613527) is an individual family medicine provider in Montgomery, Alabama, licensed in Alabama (31278) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1255613527

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. VIKAS GUPTACredential: MD

Location Address4371 NARROW LANE RD, SUITE 100Montgomery, AL 36116-2971

Mailing Address301 Brown Springs RdMontgomery, AL 36117-7005 · (334) 747-4159

Phone(334) 613-3680

Fax(334) 613-3685

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateSeptember 13, 2011

Last NPPES UpdateJanuary 6, 2023

NPPES CertifiedJanuary 6, 2023

✔ NPI 1255613527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in AL · 31278✔ Licensed in AL · L3112R

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4371 NARROW LANE RD, Montgomery, AL 36116

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Dr. Vikas 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 ID5991971756

PECOS Enrollment IDI20111228000127

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 13

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.

127 services86 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

100 services35 patients

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.

98 services40 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

71 services31 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.

64 services23 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

31 services30 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

31 services31 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

23 services22 patients

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.

21 services19 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

20 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services19 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.

15 services14 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36116 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

95.62/100

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

Individually scored

Quality

96.24

Promoting Interoperability

100

Improvement Activities

Cost

59.16

Reported Quality Measures

Breast Cancer Screening

88%99 patients4/55-star benchmark: 93%

Cervical Cancer Screening

49%71 patients3/55-star benchmark: 98%

Colorectal Cancer Screening

72%203 patients4/55-star benchmark: 88%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

10%72 patients4/55-star benchmark: 91%

e-Prescribing

97%551 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%132 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

73%240 patients4/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 81% · 277 patients

Patients screened: 81% · 277 patients

100%22 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

93%175 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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers20 claims40 services$5.26 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

5 suppliers17 claims17 services$52.84 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers12 claims12 services$18.39 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers15 claims15 services$16.70 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers20 claims107 services$2.47 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

2 suppliers13 claims13 services$17.54 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 17

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

FRANKLIN D SCOTT MD

Pediatrics

4371 NARROW LANE RD, SUITE 100
MONTGOMERY, AL 36116

Montgomery County (334) 613-3680

DR. ERIK PAUL LESSMANN M.D.

Family Medicine

4371 NARROW LANE RD
MONTGOMERY, AL 36116

Montgomery County (334) 613-3680

CHETHANA R. PHONDE M.D.

Hospitalist

4371 NARROW LANE RD, SUITE 100
MONTGOMERY, AL 36116

Montgomery County (334) 613-3680

GLENDA ATILANO MD

Internal Medicine

4371 NARROW LANE RD, SUITE 100
MONTGOMERY, AL 36116

Montgomery County (334) 613-7080

KIANA K FOSTER M.D.

General Practice

4371 NARROW LANE RD, SUITE 100
MONTGOMERY, AL 36116

Montgomery County (334) 613-3680

DR. JAMES FRANCIS HENDERSON M.D.

Family Medicine

4371 NARROW LANE RD
MONTGOMERY, AL 36116

Montgomery County (334) 613-3680

RICHARD LESLIE SAMPLE MD

Family Medicine

4371 NARROW LANE RD
MONTGOMERY, AL 36116

Montgomery County (334) 613-3680

BETHANY JACOBS MEREDITH D.O.

Family Medicine

4371 NARROW LANE RD, SUITE 100
MONTGOMERY, AL 36116

Montgomery County (334) 613-3680

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 Vikas Gupta's NPI number?

The NPI number for Vikas Gupta is 1255613527. It was assigned to this individual provider in the NPPES registry on September 13, 2011.

Where is Vikas Gupta located?

Vikas Gupta practices at 4371 Narrow Lane Rd Suite 100, Montgomery, AL 36116. The listed phone number is (334) 613-3680.

What is Vikas Gupta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vikas Gupta enrolled in Medicare?

Yes. Vikas 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 Vikas Gupta accept?

Health plans from Blue Cross and Blue Shield of Alabama list Vikas 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.

When was this NPI record last updated?

The NPPES record for Vikas Gupta was last updated on January 6, 2023. 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.