PRAVEENA GUPTA O.D
NPI 1407049323
Optometrist in Galveston, TX

Q: What is Praveena Gupta's NPI number?

The NPI number for Praveena Gupta is 1407049323. It was assigned to this individual provider in the NPPES registry on August 23, 2007.

Q: What is Praveena Gupta's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Praveena Gupta was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 August 23, 2007PECOS EnrolledAccepts Medicare Assignment

74.96/100

CMS Quality Rating

301 UNIVERSITY BLVD, GALVESTON, TX 77555(409) 772-2222 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Praveena Gupta O.d NPPES

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

PRAVEENA GUPTA O.D (NPI 1407049323) is an individual optometrist in Galveston, Texas, licensed in Texas (7148-T) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of New England College Of Optometry (2007).

NPPES Registry Identity

NPI1407049323

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NamePRAVEENA GUPTACredential: O.D

Location Address301 UNIVERSITY BLVDGalveston, TX 77555-5302

Mailing Address301 University BlvdGalveston, TX 77555-5302 · (409) 772-2222

Phone(409) 772-2222

Sole ProprietorYes

Medical School CMSNew England College Of OptometryGraduated 2007

Enumeration DateAugust 23, 2007

Last NPPES UpdateFebruary 17, 2026

NPPES CertifiedFebruary 17, 2026

✔ NPI 1407049323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 7148-T

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 7148-T (TX)

301 UNIVERSITY BLVD, Galveston, TX 77555

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Praveena Gupta O.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 ID5395834840

PECOS Enrollment IDI20071205000590

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.

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.

176 services169 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.

77 services70 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.

57 services57 patients

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.

45 services43 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

40 services40 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

36 services36 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

33 services33 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

31 services27 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

30 services29 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

28 services25 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

21 services17 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450018

Location301 University BoulevardGalveston, TX 77555 · Galveston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77555 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

$131.16 typical visit price

range $57.19 – $173.07

Typical copayment $32.79 (range $14.29 – $43.26)

Most-billed visit code 99204

Established Patient

$71.32 typical visit price

range $18.45 – $141.36

Typical copayment $17.83 (range $4.61 – $35.34)

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.

74.96/100

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

Scored as part of a group practice

Quality

73.77

Promoting Interoperability

Improvement Activities

Cost

47.75

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.

AMY KATHERINE HAVERTY PNP

Nurse Practitioner (Pediatrics)

301 UNIVERSITY BLVD
GALVESTON, TX 77555

Galveston County (409) 772-2222

EVA NOVAK BLIGHT NNP

Nurse Practitioner (Neonatal)

301 UNIVERSITY BLVD
GALVESTON, TX 77555

Galveston County (409) 772-2222

DR. JENNIFER ANN MINNEMAN MD

Surgery (Trauma Surgery)

301 UNIVERSITY BLVD
GALVESTON, TX 77555

Galveston County (409) 772-1011

DR. JAMES HAROLD PAVELA MD

Internal Medicine

301 UNIVERSITY BLVD
GALVESTON, TX 77555

Galveston County (409) 772-7063

DIAA HAMOUDA MBBCH

Psychiatry & Neurology (Neurology)

301 UNIVERSITY BLVD, JSA 9.128
GALVESTON, TX 77555

Galveston County (409) 772-8031

SOMMER KIRSCH CAUSEY MD

Anesthesiology

301 UNIVERSITY BLVD
GALVESTON, TX 77555

Galveston County (409) 772-1221

RANDA ABDELMASIH MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

301 UNIVERSITY BLVD
GALVESTON, TX 77555

Galveston County (832) 505-2300

HEATHER PENTON

Anesthesiology

301 UNIVERSITY BLVD
GALVESTON, TX 77555

Galveston County (409) 772-2222

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 Praveena Gupta's NPI number?

The NPI number for Praveena Gupta is 1407049323. It was assigned to this individual provider in the NPPES registry on August 23, 2007.

Where is Praveena Gupta located?

Praveena Gupta practices at 301 University Blvd, Galveston, TX 77555. The listed phone number is (409) 772-2222.

What is Praveena Gupta's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Praveena Gupta enrolled in Medicare?

Yes. Praveena 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 Praveena Gupta accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Praveena 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 Praveena Gupta affiliated with any hospitals?

According to CMS data, Praveena Gupta is affiliated with University Of Texas Medical Branch Galveston.

When was this NPI record last updated?

The NPPES record for Praveena Gupta was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.