PIYUSH GUPTA MD
NPI 1275618803
Internal Medicine in Mount Vernon, OH

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
90.54/100
CMS Quality Rating
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050(740) 399-3875 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2026, May 20, 2025, May 16, 2025 and 2 more (5 updates tracked since 2018).

About Piyush Gupta Md NPPES

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

PIYUSH GUPTA MD (NPI 1275618803) is an individual internal medicine provider in Mount Vernon, Ohio, licensed in Ohio (35-08-3669) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1275618803
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePIYUSH GUPTACredential: MD
Location Address1330 COSHOCTON AVEMount Vernon, OH 43050-1440
Mailing Address1500 Michigan AveColumbus, OH 43201-2635
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 25, 2006
Last NPPES UpdateMarch 25, 20265 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
NPI 1275618803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in OH · 35-08-3669 Licensed in CA · C53824 Licensed in OR · MD218769 Licensed in WA · MD70090811
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1330 COSHOCTON AVE, Mount Vernon, OH 43050

Secondary Practice Locations 5

Location 130 E Apple St Ste Nw3300Dayton, OH 45409-2939 · Phone (937) 208-8394 · Fax (937) 208-8388
Location 21016 Tacoma AveSunnyside, WA 98944-2263 · Phone (303) 390-1940
Location 3444 Bruce StYreka, CA 96097-3450 · Phone (303) 390-1940
Location 43130 N County Road 25ATroy, OH 45373-1337 · Phone (937) 440-4466 · Fax (937) 440-4470
Location 51000 3rd StTillamook, OR 97141-3430 · Phone (503) 842-4444

Other Identifiers 1

Medicaid2477396OH

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

Piyush 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 ID9830369040
PECOS Enrollment IDI20110825000645, I20240418003730, I20260409001978
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 6

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.

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.
275 services272 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.
150 services72 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
92 services62 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
77 services75 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
11 services11 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360016
Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County
Emergency services

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Astria Sunnyside Hospital

Critical Access Hospitals · Sunnyside, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number501330
Location1016 Tacoma AvenueSunnyside, WA 98944 · Yakima County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43050 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Promoting Interoperability100
Improvement Activities40
Cost87.75

Referred Medical Equipment & Supplies CMS DME claims 7

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
7 suppliers110 claims110 services$19.31 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 supplier22 claims22 services$782.06 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims15 services$7.36 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
7 suppliers107 claims107 services$107.51 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 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
3 suppliers13 claims660 services$0.10 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.

Internal Medicine (Critical Care Medicine)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Emergency Medicine
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Registered Nurse
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Anesthesiology
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Preventive Medicine (Occupational Medicine)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Emergency Medicine
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Emergency Medicine
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Anesthesiology
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050

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 Piyush Gupta's NPI number?

The NPI number for Piyush Gupta is 1275618803. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Piyush Gupta located?

Piyush Gupta practices at 1330 Coshocton Ave, Mount Vernon, OH 43050. The listed phone number is (740) 399-3875.

What is Piyush Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Piyush Gupta enrolled in Medicare?

Yes. Piyush 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 Piyush Gupta accept?

Health plans from CareSource list Piyush 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 Piyush Gupta affiliated with any hospitals?

According to CMS data, Piyush Gupta is affiliated with Mercy Health-Anderson Hospital, The Jewish Hospital-Mercy Health, Mercy Health - Fairfield Hospital, Mercy Health - West Hospital and Astria Sunnyside Hospital.

When was this NPI record last updated?

The NPPES record for Piyush Gupta was last updated on March 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.