MANMOHAN GUPTA M.D.
NPI 1467569681
Internal Medicine - Rheumatology in Macon, GA

Active since August 24, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 11D0264002 · Microscopy
17.23/100
CMS Quality Rating
770 PINE ST, SUITE 440, MACON, GA 31201(478) 741-4588(478) 741-4589 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Manmohan Gupta M.d. NPPES

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

MANMOHAN GUPTA M.D. (NPI 1467569681) is an individual rheumatology provider in Macon, Georgia, licensed in Georgia (023976) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through December 9, 2026, and is affiliated with Atrium Health Navicent The Medical Center.

NPPES Registry Identity

NPI1467569681
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMANMOHAN GUPTACredential: M.D.
Location Address770 PINE ST, SUITE 440Macon, GA 31201-2173
Mailing AddressPo Box 13026, 770 Pine Street Suite 440Macon, GA 31208-3026 · (478) 741-4588 · Fax (478) 741-4589
Fax(478) 741-4589
Sole ProprietorNo
Medical School CMSOtherGraduated 1972
Enumeration DateAugust 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1467569681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in GA · 023976
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
770 PINE ST, Macon, GA 31201

Other Identifiers 1

Medicare UPIND40036GA

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

Manmohan 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 ID4587815949
PECOS Enrollment IDI20121112000289
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0264002

Manmohan Gupta MD · Macon, GA
Active · expires Dec 9, 2026
CLIA Number11D0264002
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorManmohan Gupta
Laboratory Phone(912) 741-4588
Laboratory LocationManmohan Gupta MD770 Pine Street Suite 440, Macon, GA 31201
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 17

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
586 services159 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.
561 services145 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
390 services79 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
256 services128 patients
X-ray of hand, 2 views 73120
An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.
256 services128 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
252 services126 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

17.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost57.45

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 (Cardiovascular Disease)
770 PINE ST, SUITE 310
MACON, GA 31201
Surgery
770 PINE ST, SUITE 550
MACON, GA 31201
Obstetrics & Gynecology (Gynecology)
770 PINE ST, SIUTE 580
MACON, GA 31201
Specialist
770 PINE ST, SUITE 400
MACON, GA 31201
Specialist
770 PINE ST, SUITE 400
MACON, GA 31201
Radiology (Diagnostic Radiology)
770 PINE ST, SUITE 290
MACON, GA 31201
Radiology (Diagnostic Radiology)
770 PINE ST, SUITE 290
MACON, GA 31201
Pharmacy (Community/Retail Pharmacy)
770 PINE ST, STE 100
MACON, GA 31201

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 Manmohan Gupta's NPI number?

The NPI number for Manmohan Gupta is 1467569681. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Manmohan Gupta located?

Manmohan Gupta practices at 770 Pine St Suite 440, Macon, GA 31201. The listed phone number is (478) 741-4588.

What is Manmohan Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Manmohan Gupta enrolled in Medicare?

Yes. Manmohan 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.

Does Manmohan Gupta hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0264002) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Manmohan Gupta accept?

Health plans from Alliant Health Plans, Inc. list Manmohan 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 Manmohan Gupta affiliated with any hospitals?

According to CMS data, Manmohan Gupta is affiliated with Atrium Health Navicent The Medical Center.

When was this NPI record last updated?

The NPPES record for Manmohan Gupta was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.