PRASAD D GUPTA MD
NPI 1659686970
Internal Medicine - Interventional Cardiology in Du Bois, PA

Q: What is Prasad Gupta's NPI number?

The NPI number for Prasad Gupta is 1659686970. It was assigned to this individual provider in the NPPES registry on August 11, 2010.

Q: What is Prasad Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Prasad Gupta was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since August 11, 2010PECOS EnrolledAccepts Medicare Assignment

87.29/100

CMS Quality Rating

145 HOSPITAL AVE, SUITE 211, DU BOIS, PA 15801(814) 375-3722(814) 375-3363 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Prasad D Gupta Md NPPES

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

PRASAD D GUPTA MD (NPI 1659686970) is an individual interventional cardiology provider in Du Bois, Pennsylvania, licensed in Pennsylvania (MD430021) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1659686970

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NamePRASAD D GUPTACredential: MD

Location Address145 HOSPITAL AVE, SUITE 211Du Bois, PA 15801-1464

Mailing Address145 Hospital Ave, Suite 211Du Bois, PA 15801-1464 · (814) 375-3722 · Fax (814) 375-3363

Phone(814) 375-3722

Fax(814) 375-3363

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateAugust 11, 2010

Last NPPES UpdateMarch 24, 2026

NPPES CertifiedMarch 24, 2026

✔ NPI 1659686970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in PA · MD430021

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD430021 (PA)

145 HOSPITAL AVE, Du Bois, PA 15801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Prasad D 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 ID3870788672

PECOS Enrollment IDI20101105000830

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.

Medicare Billing Reassignments

Medicare enrollment records show Prasad Gupta reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dubois Regional Cardiology Associates LLC

Same address

Cardiovascular Disease

145 HOSPITAL AVE, SUITE 211
Du Bois, PA 15801

Reassigned Medicare billing, Pennsylvania enrollment
14 clinicians in this Medicare group

NPI 1477594232 (814) 375-3722

Dubois Regional Medical Center

0.1 mi

Internal Medicine

100 HOSPITAL AVE
Du Bois, PA 15801

Reassigned Medicare billing, Pennsylvania enrollment
10 clinicians in this Medicare group

NPI 1679673099 (814) 375-3273

Brookville Hospital

17 mi

Internal Medicine

100 HOSPITAL RD
Brookville, PA 15825

Reassigned Medicare billing, Pennsylvania enrollment
5 clinicians in this Medicare group

NPI 1780826438 (814) 849-1842

Elk Regional Health Center

24 mi

General Acute Care Hospital

763 JOHNSONBURG RD
Saint Marys, PA 15857

Reassigned Medicare billing, Pennsylvania enrollment
4 clinicians in this Medicare group

NPI 1437396348 (814) 788-8000

University Of Pittsburgh Physicians

57 mi

Urgent Care

464 ALLEGHENY BLVD, PENNWOOD CENTER
Franklin, PA 16323

Reassigned Medicare billing, Pennsylvania enrollment
7,114 clinicians in this Medicare group

NPI 1619381456 (814) 432-9801

J C Blair Memorial Hospital

59 mi

General Acute Care Hospital

1225 WARM SPRINGS AVE
Huntingdon, PA 16652

Reassigned Medicare billing, Pennsylvania enrollment
124 clinicians in this Medicare group

NPI 1790996445 (814) 643-2290

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 31

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.

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.

1,525 services1,265 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

816 services799 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.

360 services291 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

333 services313 patients

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.

261 services230 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

205 services204 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

204 services203 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

186 services186 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.

93 services80 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

92 services92 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

89 services89 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

85 services85 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

44 services33 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

38 services36 patients

Ultrasound of heart during rest, exercise and/or drug-induced stress with report 93350

This procedure involves using ultrasound imaging to view your heart at rest, during exercise, and/or under drug-induced stress. It helps assess how well your heart responds to exertion. A report of the findings is provided after the test.

36 services36 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

32 services32 patients

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242

This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.

31 services29 patients

Insertion of tube in right heart chambers for measurement 93451

This procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.

30 services30 patients

Ultrasound of heart, follow-up 93308

28 services28 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

27 services27 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.

24 services20 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

22 services21 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

21 services21 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

21 services21 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

20 services20 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

20 services19 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

20 services20 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

17 services17 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

13 services13 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.

13 services13 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390056

Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County

Emergency services

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390086

Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number391312

Location100 Hospital RoadBrookville, PA 15825 · Jefferson County

Emergency services

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391315

Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

87.29/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.99

Promoting Interoperability

Improvement Activities

Cost

87.16

Reported Quality Measures

Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy

100%85 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.

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.

GREGORY LOUIS CARPENTER PA-C

Physician Assistant

145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801

Clearfield County (814) 375-3750

MELISSA MARIE HILLIARD PA-C

Physician Assistant

145 HOSPITAL AVE, SUITE 301
DU BOIS, PA 15801

Clearfield County (814) 375-4000

CURTIS MICHAEL GRENOBLE P.A.-C

Physician Assistant (Medical)

145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801

Clearfield County (814) 375-3750

STEPHEN M. KRUK D.O.

Internal Medicine

145 HOSPITAL AVE, SUITE 215
DU BOIS, PA 15801

Clearfield County (814) 371-1717

MARK A. PIASIO M.D.

Orthopaedic Surgery

145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801

Clearfield County (814) 375-9617

WOMENS CARE OF WESTERN PENNSYLVANIA LLC

Obstetrics & Gynecology

145 HOSPITAL AVE, SUITE 315
DU BOIS, PA 15801

Clearfield County (814) 371-6172

DR. DANIEL S WOOLLEY MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

145 HOSPITAL AVE, SUITE 206
DU BOIS, PA 15801

Clearfield County (814) 375-2040

DR. BRENT AARON BARNES DO

Internal Medicine (Cardiovascular Disease)

145 HOSPITAL AVE, STE 211
DUBOIS, PA 15801

Clearfield County (814) 375-3722

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 Prasad Gupta's NPI number?

The NPI number for Prasad Gupta is 1659686970. It was assigned to this individual provider in the NPPES registry on August 11, 2010.

Where is Prasad Gupta located?

Prasad Gupta practices at 145 Hospital Ave Suite 211, Du Bois, PA 15801. The listed phone number is (814) 375-3722.

What is Prasad Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Prasad Gupta enrolled in Medicare?

Yes. Prasad 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.

Which organizations bill Medicare for Prasad Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prasad Gupta reassigns Medicare benefits to 6 organizations: Dubois Regional Cardiology Associates LLC (Du Bois, PA), Dubois Regional Medical Center (Du Bois, PA), Brookville Hospital (Brookville, PA), Elk Regional Health Center (Saint Marys, PA), University Of Pittsburgh Physicians (Franklin, PA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prasad Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prasad Gupta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Prasad 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 Prasad Gupta affiliated with any hospitals?

According to CMS data, Prasad Gupta is affiliated with Penn Highlands Huntingdon, Penn Highlands Dubois, Penn Highlands Brookville and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Prasad Gupta was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.