OMESH PARKASH GUPTA MD
NPI 1326268475
Ophthalmology in Plymouth Meeting, PA

Active since April 30, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4060 BUTLER PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462(800) 331-6634(267) 420-1360 Get Directions Write a Review

NPPES record last updated: May 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2019, Sep 21, 2017 (2 updates tracked since 2017).

About Omesh Parkash Gupta Md NPPES

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

OMESH PARKASH GUPTA MD (NPI 1326268475) is an individual ophthalmology provider in Plymouth Meeting, Pennsylvania, licensed in Pennsylvania (MD431770) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Wills Eye Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2003).

NPPES Registry Identity

NPI1326268475
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameOMESH PARKASH GUPTACredential: MD
Location Address4060 BUTLER PIKE, SUITE 200Plymouth Meeting, PA 19462-1560
Mailing Address4060 Butler Pike, Suite 200Plymouth Meeting, PA 19462-1560 · (800) 331-6634 · Fax (267) 420-1360
Fax(267) 420-1360
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2003
Enumeration DateApril 30, 2007
Last NPPES UpdateMay 6, 20192 updates tracked since enumeration
NPI 1326268475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in PA · MD431770 Licensed in DE · C1-0009162 Licensed in NJ · 25MA08900500
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License MD431770 (PA), 25MA08900500 (NJ), CI-0009162 (DE)
4060 BUTLER PIKE, Plymouth Meeting, PA 19462

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

Omesh Parkash 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 ID3779684451
PECOS Enrollment IDI20070725000192, I20110630000230, I20110718000310
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 23

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
6,853 services1,808 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
4,866 services638 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
4,246 services960 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
2,696 services158 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,100 services931 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
399 services368 patients

Hospital Affiliations CMS Care Compare

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

Wills Eye Hospital

Acute Care Hospitals · Philadelphia, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390331
Location840 Walnut StreetPhiladelphia, PA 19107 · Philadelphia County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19462 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

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.

Ophthalmology
4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462
Ophthalmology
4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462
Ophthalmology
4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462
Optometrist
4060 BUTLER PIKE, SUITE 100
PLYMOUTH MEETING, PA 19462
Ophthalmology
4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462
Ophthalmology
4060 BUTLER PIKE, STE 200
PLYMOUTH MEETING, PA 19462
Ophthalmology
4060 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462
Optometrist
4060 BUTLER PIKE, SUITE 100
PLYMOUTH MEETING, PA 19462

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 Omesh Gupta's NPI number?

The NPI number for Omesh Gupta is 1326268475. It was assigned to this individual provider in the NPPES registry on April 30, 2007.

Where is Omesh Gupta located?

Omesh Gupta practices at 4060 Butler Pike Suite 200, Plymouth Meeting, PA 19462. The listed phone number is (800) 331-6634.

What is Omesh Gupta's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Omesh Gupta enrolled in Medicare?

Yes. Omesh 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 Omesh Gupta accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Omesh 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 Omesh Gupta affiliated with any hospitals?

According to CMS data, Omesh Gupta is affiliated with Wills Eye Hospital.

When was this NPI record last updated?

The NPPES record for Omesh Gupta was last updated on May 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.