SEEMA R GUPTA MD
NPI 1568495265
Ophthalmology in Portland, OR

Active since July 08, 2006PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
3303 SW BOND AVE, PORTLAND, OR 97239(503) 494-7672 Get Directions Write a Review

NPPES record last updated: July 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seema R Gupta Md NPPES

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

SEEMA R GUPTA MD (NPI 1568495265) is an individual ophthalmology provider in Portland, Oregon, licensed in Oregon (MD25666) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1568495265
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSEEMA R GUPTACredential: MD
Location Address3303 SW BOND AVEPortland, OR 97239-4501
Mailing Address3303 Sw Bond AvePortland, OR 97239-4501 · (503) 494-7672
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 8, 2006
Last NPPES UpdateJuly 30, 2014
NPI 1568495265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OR · MD25666
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License A84166 (CA), MD25666 (OR)
3303 SW BOND AVE, Portland, OR 97239

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

Seema R 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 ID3779674205
PECOS Enrollment IDI20070813000176
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.
512 services428 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.
313 services259 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).
305 services254 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.
230 services212 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.
158 services154 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.
156 services127 patients

Hospital Affiliations CMS Care Compare

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

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.

Dermatology
3303 SW BOND AVE
PORTLAND, OR 97239
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3303 SW BOND AVE
PORTLAND, OR 97239
Physical Therapist (Neurology)
3303 SW BOND AVE
PORTLAND, OR 97239
Nurse Practitioner (Family)
3303 SW BOND AVE
PORTLAND, OR 97239
Registered Nurse (Ambulatory Care)
3303 SW BOND AVE
PORTLAND, OR 97239
Internal Medicine (Medical Oncology)
3303 SW BOND AVE, 7TH FLOOR
PORTLAND, OR 97239
Nurse Practitioner (Acute Care)
3303 SW BOND AVE
PORTLAND, OR 97239
Ophthalmology (Glaucoma Specialist)
3303 SW BOND AVE
PORTLAND, OR 97239

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 Seema Gupta's NPI number?

The NPI number for Seema Gupta is 1568495265. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Seema Gupta located?

Seema Gupta practices at 3303 SW Bond Ave, Portland, OR 97239. The listed phone number is (503) 494-7672.

What is Seema Gupta's specialty?

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

Is Seema Gupta enrolled in Medicare?

Yes. Seema 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 Seema Gupta accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Seema 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 Seema Gupta affiliated with any hospitals?

According to CMS data, Seema Gupta is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Seema Gupta was last updated on July 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.