DR. SEEMA A. GUPTA M.D.
NPI 1710973375
Ophthalmology in Rockville, MD

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
90.76/100
CMS Quality Rating
121 CONGRESSIONAL LN, STE #412, ROCKVILLE, MD 20852(301) 770-4636(301) 770-7860 Get Directions Write a Review

NPPES record last updated: January 2, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Seema A. Gupta M.d. NPPES

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

DR. SEEMA A. GUPTA M.D. (NPI 1710973375) is an individual ophthalmology provider in Rockville, Maryland, licensed in Maryland (D63425) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (2001).

NPPES Registry Identity

NPI1710973375
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. SEEMA A. GUPTACredential: M.D.
Location Address121 CONGRESSIONAL LN, STE #412Rockville, MD 20852-1542
Mailing Address121 Congressional Ln, Ste #412Rockville, MD 20852-1542 · (301) 770-4636 · Fax (301) 770-7860
Fax(301) 770-7860
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2001
Enumeration DateSeptember 20, 2005
Last NPPES UpdateJanuary 2, 2008
NPI 1710973375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MD · D63425
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.

121 CONGRESSIONAL LN, Rockville, MD 20852

Other Names 1

Former Name (1)Dr. Seema Aggarwal M.d.

Other Identifiers 2

Medicare PING02680DC
Medicare UPINI38387

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. Seema A. 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 ID1456382316
PECOS Enrollment IDI20071024000185
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 11

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.
756 services676 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).
331 services307 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.
315 services214 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.
222 services202 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.
163 services138 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.
104 services104 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20852 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

90.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost69.22

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
100%54 patients5/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
100%57 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%222 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,837 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
100%105 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.

Psychiatry & Neurology (Psychiatry)
121 CONGRESSIONAL LN, SUITE 604
ROCKVILLE, MD 20852
Family Medicine
121 CONGRESSIONAL LN, SUITE 318
ROCKVILLE, MD 20852
Dentist (General Practice)
121 CONGRESSIONAL LN, SUITE 410
ROCKVILLE, MD 20852
Ophthalmology
121 CONGRESSIONAL LN, STE 601
ROCKVILLE, MD 20852
Social Worker (Clinical)
121 CONGRESSIONAL LN, 604
ROCKVILLE, MD 20852
Audiologist-Hearing Aid Fitter
121 CONGRESSIONAL LN, 310
ROCKVILLE, MD 20852
Clinic/Center (Ambulatory Surgical)
121 CONGRESSIONAL LN, SUITE 100
ROCKVILLE, MD 20852
Physician Assistant (Medical)
121 CONGRESSIONAL LN, #409
ROCKVILLE, MD 20852

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 1710973375. It was assigned to this individual provider in the NPPES registry on September 20, 2005. The provider is also known as Dr. Seema Aggarwal M.D..

Where is Seema Gupta located?

Seema Gupta practices at 121 Congressional Ln Ste #412, Rockville, MD 20852. The listed phone number is (301) 770-4636.

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.

When was this NPI record last updated?

The NPPES record for Seema Gupta was last updated on January 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.