ASHUTOSH GUPTA M.D.
NPI 1568608198
Internal Medicine - Gastroenterology in Odessa, TX

Active since January 03, 2009PECOS EnrolledAccepts Medicare Assignment
76.58/100
CMS Quality Rating
540 W 5TH ST, SUITE 300, ODESSA, TX 79761(432) 640-3007(432) 640-2708 Get Directions Write a Review

NPPES record last updated: June 25, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ashutosh Gupta M.d. NPPES

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

ASHUTOSH GUPTA M.D. (NPI 1568608198) is an individual gastroenterology provider in Odessa, Texas, licensed in Texas (Q1410) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Paris Regional Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1568608198
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameASHUTOSH GUPTACredential: M.D.
Location Address540 W 5TH ST, SUITE 300Odessa, TX 79761-5034
Mailing AddressPo Box 2129Odessa, TX 79760-2129 · (432) 640-3007 · Fax (432) 640-2708
Fax(432) 640-2708
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 3, 2009
Last NPPES UpdateJune 25, 2015
NPI 1568608198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in TX · Q1410
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
540 W 5TH ST, Odessa, TX 79761

Other Identifiers 3

Medicaid201024310IN
Medicare PINM400049133IN
OtherP01002367IN · Railroad Medicare Ptan

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

Ashutosh 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 ID6305024845
PECOS Enrollment IDI20150720001390
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
370 services185 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
275 services143 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
187 services184 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
88 services87 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
71 services71 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
38 services38 patients

Hospital Affiliations CMS Care Compare 5

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

Paris Regional Medical Center

Acute Care Hospitals · Paris, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450196
Location865 Deshong DrParis, TX 75460 · Lamar County
Emergency services Birthing friendly

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79761 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

76.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.11
Promoting Interoperability100
Improvement Activities40
Cost42.28

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.

Obstetrics & Gynecology
540 W 5TH ST, SUITE 420
ODESSA, TX 79761
Audiologist-Hearing Aid Fitter
540 W 5TH ST, SUITE 405
ODESSA, TX 79761
Pediatrics
540 W 5TH ST, SUITE 360
ODESSA, TX 79761
Surgery (Vascular Surgery)
540 W 5TH ST, SUITE #360
ODESSA, TX 79761
Pharmacy Technician
540 W 5TH ST
ODESSA, TX 79761
Preventive Medicine (Undersea and Hyperbaric Medicine)
540 W 5TH ST, SUITE 300
ODESSA, TX 79761
Nurse Practitioner (Family)
540 W 5TH ST, SUITE 470
ODESSA, TX 79761
Pharmacist
540 W 5TH ST
ODESSA, TX 79761

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 Ashutosh Gupta's NPI number?

The NPI number for Ashutosh Gupta is 1568608198. It was assigned to this individual provider in the NPPES registry on January 3, 2009.

Where is Ashutosh Gupta located?

Ashutosh Gupta practices at 540 W 5th St Suite 300, Odessa, TX 79761. The listed phone number is (432) 640-3007.

What is Ashutosh Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ashutosh Gupta enrolled in Medicare?

Yes. Ashutosh 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 Ashutosh 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 6 other insurers list Ashutosh 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 Ashutosh Gupta affiliated with any hospitals?

According to CMS data, Ashutosh Gupta is affiliated with Paris Regional Medical Center, Hunt Regional Medical Center, Medical Center Of Mckinney, Medical City Denton and Medical City Plano.

When was this NPI record last updated?

The NPPES record for Ashutosh Gupta was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.