PRAVEENA GUPTA O.D
NPI 1407049323
Optometrist in Galveston, TX
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Praveena Gupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Galveston, TX 77555
- Reassigned Medicare billing, Texas enrollment
- 2,222 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, TXPhysician 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.
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.
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.
GALVESTON, TX 77555
GALVESTON, TX 77555
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.
Which organization bills Medicare for Praveena Gupta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Praveena Gupta reassigns Medicare benefits to Utmb Faculty Group Practice (Galveston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Praveena Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 8 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.