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VINAYAK GUPTA MD
NPI 1588169486
Emergency Medicine in Lexington, KY

Active since March 24, 2018PECOS EnrolledAccepts Medicare Assignment
47.19/100
CMS Quality Rating
800 ROSE ST RM M-53, LEXINGTON, KY 40536(859) 323-5083(859) 323-5682 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2020, Mar 24, 2018 (2 updates tracked since 2018).

About Vinayak Gupta Md NPPES

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

VINAYAK GUPTA MD (NPI 1588169486) is an individual emergency medicine provider in Lexington, Kentucky, licensed in Kentucky (TP346) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Community Hospital Of Anderson And Madison County, and is a graduate of Indiana University School Of Medicine (2021).

NPPES Registry Identity

NPI1588169486
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameVINAYAK GUPTACredential: MD
Location Address800 ROSE ST RM M-53Lexington, KY 40536-1593
Mailing Address800 Rose St Rm M-53Lexington, KY 40536-1593 · (859) 323-5083 · Fax (859) 323-5682
Phone(859) 323-5083
Fax(859) 323-5682
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 2021
Enumeration DateMarch 24, 2018
Last NPPES UpdateOctober 16, 20202 updates tracked since enumeration
NPPES CertifiedOctober 16, 2020
✔ NPI 1588169486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in KY · TP346
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
800 ROSE ST RM M-53, Lexington, KY 40536
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Vinayak 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 ID4688902760
PECOS Enrollment IDI20210715002299
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 6

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
309 services291 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
300 services258 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
254 services242 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
81 services78 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
57 services56 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150113
Location1515 N Madison AveAnderson, IN 46011 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

47.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality30
Improvement Activities40
Cost22.85

Reported Quality Measures

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%1,087 patients5/55-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

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

Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.41 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 20

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

JAMES DANIEL MOORE M.D.
Emergency Medicine
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Fayette County (859) 323-5908
STEPHEN ZACHARY HARRETT MD
Emergency Medicine
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Fayette County (859) 323-5083
JAVED OSMANI DO
Student in an Organized Health Care Education/Training Program
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Fayette County (859) 323-5083
DR. ETHAN F WELLS MD
Student in an Organized Health Care Education/Training Program
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Fayette County (859) 323-5083
MARTIN HAOYUAN YANG
Emergency Medicine
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Fayette County (859) 323-5083
SETH STEARLEY MD
Emergency Medicine
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Fayette County (859) 323-5908
DR. NICHOLAS MANCUSO MD
Emergency Medicine
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Fayette County (859) 323-5083
OLIVIA SKY MURPHY MD
Student in an Organized Health Care Education/Training Program
800 ROSE ST RM M-53
LEXINGTON, KY 40536
Fayette County (859) 323-5083

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 Vinayak Gupta's NPI number?

The NPI number for Vinayak Gupta is 1588169486. It was assigned to this individual provider in the NPPES registry on March 24, 2018.

Where is Vinayak Gupta located?

Vinayak Gupta practices at 800 Rose St Rm M-53, Lexington, KY 40536. The listed phone number is (859) 323-5083.

What is Vinayak Gupta's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Vinayak Gupta enrolled in Medicare?

Yes. Vinayak 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 Vinayak Gupta accept?

Health plans from CareSource list Vinayak 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 Vinayak Gupta affiliated with any hospitals?

According to CMS data, Vinayak Gupta is affiliated with Community Hospital Of Anderson And Madison County.

When was this NPI record last updated?

The NPPES record for Vinayak Gupta was last updated on October 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.