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DR. SHEILA R GUPTA
NPI 1487668463
Internal Medicine - Endocrinology, Diabetes & Metabolism in Ormond Beach, FL

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
345 CLYDE MORRIS BLVD, SUITE 390, ORMOND BEACH, FL 32174(386) 673-0075(386) 673-0049 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sheila R Gupta NPPES

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

DR. SHEILA R GUPTA (NPI 1487668463) is an individual endocrinology, diabetes & metabolism provider in Ormond Beach, Florida, licensed in Florida (ME98147) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2001).

NPPES Registry Identity

NPI1487668463
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SHEILA R GUPTA
Location Address345 CLYDE MORRIS BLVD, SUITE 390Ormond Beach, FL 32174-3111
Mailing Address345 Clyde Morris Blvd, Suite 390Ormond Beach, FL 32174-3111 · (386) 673-0075 · Fax (386) 673-0049
Phone(386) 673-0075
Fax(386) 673-0049
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2001
Enumeration DateJuly 28, 2006
Last NPPES UpdateJanuary 18, 2012
✔ NPI 1487668463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in FL · ME98147
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

345 CLYDE MORRIS BLVD, Ormond Beach, FL 32174
Open in Google Maps ↗

Other Identifiers 2

Medicare PINAH515YFL
Medicare PINAH515Z

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans.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. Sheila R Gupta 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 ID941382618
PECOS Enrollment IDI20080204000137
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 3

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.
664 services349 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
230 services88 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
18 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32174 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
98%364 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,651 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%773 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
88%758 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
54%715 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%1,188 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
2%46 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
28%715 patients2/55-star benchmark: 100%
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 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
8 suppliers72 claims925 services$18.24 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
8 suppliers78 claims2,471 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
24 suppliers83 claims351 services$6.18 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers15 claims32 services$1.01 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
6 suppliers83 claims83 services$303.48 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
12 suppliers53 claims6,620 services$7.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

RORY ALEXANDER MYER M.D.
Ophthalmology
345 CLYDE MORRIS BLVD, SUITE 330
ORMOND BEACH, FL 32174
Flagler County (386) 672-4244
AMOL K GUPTA M.D.
Physical Medicine & Rehabilitation
345 CLYDE MORRIS BLVD, SUITE 390
ORMOND BEACH, FL 32174
Flagler County (386) 673-0075
DR. JOSEPH M FRANCE MD
Ophthalmology
345 CLYDE MORRIS BLVD, SUITE 330
ORMOND BEACH, FL 32174
Flagler County (386) 672-4244
TOMOKA EYE ASSOCIATES
Ophthalmology
345 CLYDE MORRIS BLVD, SUITE 330
ORMOND BEACH, FL 32174
Flagler County (376) 672-4244
TOMOKA EYE ASSOCIATES
Ophthalmology
345 CLYDE MORRIS BLVD, SUITE 330
ORMOND BEACH, FL 32174
Flagler County (386) 672-4244
FLORIDA CANCER SPECIALISTS P L
Internal Medicine (Hematology & Oncology)
345 CLYDE MORRIS BLVD, SUITE 490
ORMOND BEACH, FL 32174
Flagler County (386) 672-3933
DR. MICHAEL KEVIN MAKOWSKI MD
Ophthalmology
345 CLYDE MORRIS BLVD, SUITE 330
ORMOND BEACH, FL 32174
Flagler County (386) 672-4244
DR. THOMAS MATTHEW KLINE O.D.
Optometrist
345 CLYDE MORRIS BLVD, SUITE 330
ORMOND BEACH, FL 32174
Flagler County (386) 672-4244

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 Sheila Gupta's NPI number?

The NPI number for Sheila Gupta is 1487668463. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Sheila Gupta located?

Sheila Gupta practices at 345 Clyde Morris Blvd Suite 390, Ormond Beach, FL 32174. The listed phone number is (386) 673-0075.

What is Sheila Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sheila Gupta enrolled in Medicare?

Yes. Sheila 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 Sheila Gupta accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans list Sheila 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 Sheila Gupta affiliated with any hospitals?

According to CMS data, Sheila Gupta is affiliated with Adventhealth New Smyrna Beach, Halifax Health Medical Center, Adventhealth Deland, Adventhealth Daytona Beach and Florida Hospital Flagler.

When was this NPI record last updated?

The NPPES record for Sheila Gupta was last updated on January 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.