DR. PANKAJ CHAND GUPTA M.D.
NPI 1609929371
Ophthalmology in North Canton, OH

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
63.05/100
CMS Quality Rating
5890 MAYFAIR RD, NORTH CANTON, OH 44720(330) 305-2200(330) 305-2210 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Pankaj Chand Gupta M.d. NPPES

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

DR. PANKAJ CHAND GUPTA M.D. (NPI 1609929371) is an individual ophthalmology provider in North Canton, Ohio, licensed in Ohio (35-099606) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-st Rita's Medical Center, and is a graduate of Ohio State University College Of Medicine (2002).

NPPES Registry Identity

NPI1609929371
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PANKAJ CHAND GUPTACredential: M.D.
Location Address5890 MAYFAIR RDNorth Canton, OH 44720-1547
Mailing Address5890 Mayfair RdNorth Canton, OH 44720-1547 · (330) 305-2200 · Fax (330) 305-2210
Fax(330) 305-2210
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2002
Enumeration DateJanuary 18, 2007
Last NPPES UpdateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
NPI 1609929371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in OH · 35-099606 Licensed in MA · 227967
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.

5890 MAYFAIR RD, North Canton, OH 44720

Other Identifiers 2

Medicaid0069769OH
OtherP01168884OH · Medicare Railroad

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

Dr. Pankaj Chand 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 ID4789786211
PECOS Enrollment IDI20120906000276
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
66 services50 patients
Established patient office or other outpatient visit, 20-29 minutes 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 services21 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.
16 services16 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
13 services13 patients
Cataract surgery NAN11
Cataract surgery is a procedure to remove the lens of your eye when it becomes cloudy, which is called a cataract. A synthetic lens is then inserted to restore clear vision. The operation is typically done on an outpatient basis and is very safe and effective.
0 services442 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360095
Location1900 South Main StreetFindlay, OH 45840 · Hancock County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44720 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

63.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.89
Improvement Activities40
Cost19.65

Other Providers at the Same Location NPPES 7

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

Ophthalmology
5890 MAYFAIR RD
CANTON, OH 44720
Ophthalmology
5890 MAYFAIR RD
CANTON, OH 44720
Optometrist
5890 MAYFAIR RD
CANTON, OH 44720
Optometrist
5890 MAYFAIR RD
CANTON, OH 44720
Ophthalmology
5890 MAYFAIR RD
CANTON, OH 44720
Ophthalmology
5890 MAYFAIR RD
NORTH CANTON, OH 44720
Ophthalmology
5890 MAYFAIR RD
NORTH CANTON, OH 44720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609929371, enumerated as an "individual" on January 18, 2007.

The provider is located at 5890 MAYFAIR RD NORTH CANTON, OH 44720 and the phone number is (330) 305-2200.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.

Pankaj Gupta is affiliated with: MERCY HEALTH-ST RITA'S MEDICAL CENTER and BLANCHARD VALLEY HOSPITAL.