MS. PRIYANKA GUPTA M.D.
NPI 1346281839
Specialist in New Braunfels, TX

Q: What is Priyanka Gupta's NPI number?

The NPI number for Priyanka Gupta is 1346281839. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Priyanka Gupta's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Priyanka Gupta was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 08, 2006PECOS EnrolledAccepts Medicare Assignment

60.48/100

CMS Quality Rating

212 HUNTERS VILLAGE, SUITE 105, NEW BRAUNFELS, TX 78132(830) 625-7612(830) 625-9357 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ms. Priyanka Gupta M.d. NPPES

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

MS. PRIYANKA GUPTA M.D. (NPI 1346281839) is an individual specialist in New Braunfels, Texas, licensed in Texas (M2629) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (1999).

NPPES Registry Identity

NPI1346281839

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMS. PRIYANKA GUPTACredential: M.D.

Location Address212 HUNTERS VILLAGE, SUITE 105New Braunfels, TX 78132-5250

Mailing Address212 Hunters Village, Suite 105New Braunfels, TX 78132-5250 · (830) 625-7612 · Fax (830) 625-9357

Phone(830) 625-7612

Fax(830) 625-9357

Sole ProprietorYes

Medical School CMSMichigan State University College Of Human MedicineGraduated 1999

Enumeration DateJune 8, 2006

Last NPPES UpdateJune 22, 2022

NPPES CertifiedJune 22, 2022

✔ NPI 1346281839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TX · M2629

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

212 HUNTERS VILLAGE, New Braunfels, TX 78132

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Other Identifiers 1

Medicaid178952101TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.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

Ms. Priyanka 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 ID143296152

PECOS Enrollment IDI20060117001026

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 12

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.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

12,082 services172 patients

Injection, omalizumab, 5 mg J2357

Omalizumab is a medication given via injection. It's used to treat severe allergic asthma and chronic hives when other treatments fail. The 5mg dose is determined by your doctor based on your weight and condition.

7,980 services17 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

1,560 services90 patients

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

1,550 services67 patients

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.

514 services326 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

482 services313 patients

Administration and interpretation of patient-focused health risk assessment 96160

This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.

465 services298 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

399 services33 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

287 services35 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.

232 services200 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.

183 services183 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

94 services91 patients

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.

60.48/100

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

Individually scored

Quality

59.01

Promoting Interoperability

Improvement Activities

Cost

92.61

Reported Quality Measures

Controlling High Blood Pressure

70%163 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

73%2,539 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

23%1,547 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

51%2,133 patients4/55-star benchmark: 61%

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

Patients screened: 83% · 367 patients

81%367 patients

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.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

3 suppliers58 claims188 services$18.39 avg. paid by Medicare

Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater E0779

DME-Other DME · category DE000N

1 supplier12 claims12 services$12.99 avg. paid by Medicare

Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg J1459

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier14 claims1,120 services$36.28 avg. paid by Medicare

Injection, immune globulin (cuvitru), 100 mg J1555

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier13 claims6,240 services$11.71 avg. paid by Medicare

Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg J1557

Treatment-Injections and Infusions (nononcologic) · category RI008N

2 suppliers17 claims980 services$39.72 avg. paid by Medicare

Injection, immune globulin (hizentra), 100 mg J1559

Treatment-Injections and Infusions (nononcologic) · category RI008N

3 suppliers26 claims6,660 services$9.53 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Priyanka Gupta's NPI number?

The NPI number for Priyanka Gupta is 1346281839. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Priyanka Gupta located?

Priyanka Gupta practices at 212 Hunters Village Suite 105, New Braunfels, TX 78132. The listed phone number is (830) 625-7612.

What is Priyanka Gupta's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Priyanka Gupta enrolled in Medicare?

Yes. Priyanka 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 Priyanka Gupta accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Priyanka 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 Priyanka Gupta was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.