DR. SUMIT KUMAR GUPTA MD
NPI 1487662003
Ophthalmology in Charlotte, NC

Q: What is Sumit Gupta's NPI number?

The NPI number for Sumit Gupta is 1487662003. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Q: What is Sumit Gupta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sumit Gupta was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 August 03, 2006PECOS EnrolledAccepts Medicare Assignment

95.35/100

CMS Quality Rating

2325 W ARBORS DR, SUITE 201, CHARLOTTE, NC 28262(704) 295-3500(704) 295-3506 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Sumit Kumar Gupta Md NPPES

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

DR. SUMIT KUMAR GUPTA MD (NPI 1487662003) is an individual ophthalmology provider in Charlotte, North Carolina, licensed in North Carolina (2008-01681) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2000).

NPPES Registry Identity

NPI1487662003

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. SUMIT KUMAR GUPTACredential: MD

Location Address2325 W ARBORS DR, SUITE 201Charlotte, NC 28262-2663

Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000 · Fax (704) 295-3506

Phone(704) 295-3500

Fax(704) 295-3506

Sole ProprietorNo

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2000

Enumeration DateAugust 3, 2006

Last NPPES UpdateMay 3, 2018

✔ NPI 1487662003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in NC · 2008-01681✔ Licensed in MI · SG075835

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.

2325 W ARBORS DR, Charlotte, NC 28262

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Other Identifiers 14

Other1502CNC · Bcbsnc

Other20096148SC · Select Health Of Sc

MedicaidN01682SC

Other01224936SC · Amerigroup

Medicaid5910409NC

Other2687NC · Evolutions Healthcare

Other7719573NC · Aetna

OtherP00667584SC · Medicare Railroad

Other000000291982SC · Unison Health Plan Of Sc

Other773424SC · Wellcare

Other89695SC · Chcares Of Sc

Other180G410170MI · Bcbs Group

Medicaid104779114MI

OtherSG075835MI · Med License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Dr. Sumit Kumar 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 ID3577530351

PECOS Enrollment IDI20081023000625

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 13

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.

495 services393 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

115 services81 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.

110 services110 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

106 services64 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.

86 services86 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.

81 services73 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).

77 services76 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.

68 services64 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.

51 services50 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

47 services42 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.

23 services23 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

20 services19 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.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

95.35/100

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

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHARON L HOLLEY DMD MONIQUE D MCEAHERN DDS ROBERT M SELDEN III DDS MS

Clinic/Center (Dental)

2325 W ARBORS DR, SUITE 104
CHARLOTTE, NC 28262

Mecklenburg County (704) 688-1664

CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA

Ophthalmology

2325 W ARBORS DR, SUITE 201
CHARLOTTE, NC 28262

Mecklenburg County (704) 295-3500

DR. HUGH M LOVEJOY JR. M.D.

Otolaryngology

2325 W ARBORS DR, SUITE 201
CHARLOTTE, NC 28262

Mecklenburg County (704) 295-3000

MARGARET DANIELLE FUNNY DDS PLLC

Dentist (Pediatric Dentistry)

2325 W ARBORS DR, SUITE 104
CHARLOTTE, NC 28262

Mecklenburg County (704) 688-1664

DR. MICHAEL THOMAS FALCONE M.D.

Otolaryngology

2325 W ARBORS DR, SUITE 201
CHARLOTTE, NC 28262

Mecklenburg County (704) 295-3500

DR. MICHAEL S MALLONEE MD

Otolaryngology

2325 W ARBORS DR, SUITE 201
CHARLOTTE, NC 28262

Mecklenburg County (704) 295-3000

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 Sumit Gupta's NPI number?

The NPI number for Sumit Gupta is 1487662003. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Sumit Gupta located?

Sumit Gupta practices at 2325 W Arbors Dr Suite 201, Charlotte, NC 28262. The listed phone number is (704) 295-3500.

What is Sumit Gupta's specialty?

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

Is Sumit Gupta enrolled in Medicare?

Yes. Sumit 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 Sumit Gupta accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Sumit 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 Sumit Gupta was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.