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DR. GAURAV KUMAR GUPTA M.D., PH.D.
NPI 1760815393
Pathology - Anatomic Pathology & Clinical Pathology in Rochester, NY

Active since August 19, 2013PECOS EnrolledAccepts Medicare Assignment
79.03/100
CMS Quality Rating
601 ELMWOOD AVENUE, UNIVERSITY OF ROCHESTER MEDICAL CENTER, ROCHESTER, NY 14642(203) 688-4242 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2020, May 29, 2019 (2 updates tracked since 2019).

About Dr. Gaurav Kumar Gupta M.d., Ph.d. NPPES

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

DR. GAURAV KUMAR GUPTA M.D., PH.D. (NPI 1760815393) is an individual anatomic pathology & clinical pathology provider in Rochester, New York, licensed in Massachusetts (255725) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1760815393
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. GAURAV KUMAR GUPTACredential: M.D., PH.D.
Location Address601 ELMWOOD AVENUE, UNIVERSITY OF ROCHESTER MEDICAL CENTERRochester, NY 14642-0001
Mailing Address601 Elmwood Avenue, University Of Rochester Medical Center, Box 626Rochester, NY 14642-0001 · (203) 688-4242
Phone(203) 688-4242
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 19, 2013
Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
✔ NPI 1760815393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in MA · 255725
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
601 ELMWOOD AVENUE, Rochester, NY 14642
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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. Gaurav Kumar Gupta M.d., Ph.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 ID2466741384
PECOS Enrollment IDI20200615001213
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood bank physician services for cross match and/or evaluation and written report 86077
Blood bank physician services for cross match involve testing your blood against donor blood to ensure compatibility before a transfusion. The evaluation includes a detailed analysis of your blood type and antibodies. A written report will be provided, summarizing the findings.
126 services104 patients
Pathology clinical consultation for clinical problem, 5-20 minutes 80503
A pathology clinical consultation is a brief meeting with a medical expert to discuss health concerns. The consultation, lasting between 5-20 minutes, involves reviewing your medical history and possibly conducting tests to diagnose or understand your health condition better.
77 services73 patients
Collection of stem cells for transplantation 38206
Stem cells for transplantation are typically collected from your bloodstream in a process known as apheresis. It involves circulating your blood through a machine that separates out stem cells, returning the rest of the blood to your body. It's a non-surgical, outpatient procedure.
64 services48 patients
Pathology clinical consultation for clinical problem, 5-20 minutes 80503
A pathology clinical consultation is a brief meeting with a medical expert to discuss health concerns. The consultation, lasting between 5-20 minutes, involves reviewing your medical history and possibly conducting tests to diagnose or understand your health condition better.
32 services30 patients
Blood bank physician services for investigation of transfusion reaction with written report 86078
This service involves a blood bank doctor examining a patient's reaction to a blood transfusion. The doctor will conduct tests to identify the cause and provide a written report detailing the findings and recommendations for future care.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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 $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

79.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.44
Improvement Activities40

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.

XIAOLAN OU MD
Pathology (Anatomic Pathology & Clinical Pathology)
601 ELMWOOD AVENUE, UNIVERSITY OF ROCHESTER MEDICAL CENTER
ROCHESTER, NY 14642
Monroe County (585) 275-3191
YU WING YEUNG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-5662
MRS. BETH ANNE DELPAPA NP
Nurse Practitioner (Family)
601 ELMWOOD AVENUE, BOX 679-Y
ROCHESTER, NY 14642
Monroe County (585) 275-4775
DR. RAVINDER SIDHU M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-2734
CHUNKIT FUNG M.D.
Internal Medicine (Hematology & Oncology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-5823
DR. PHUONG-LAN THI NGUYEN MD
Pathology (Anatomic Pathology & Clinical Pathology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 758-0510
MOUNIR FAKHOURI M.D.
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-2100
SHANTE WHITE M.D.
Anesthesiology (Pediatric Anesthesiology)
601 ELMWOOD AVENUE
ROCHESTER, NY 14642
Monroe County (585) 275-1385

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 Gaurav Gupta's NPI number?

The NPI number for Gaurav Gupta is 1760815393. It was assigned to this individual provider in the NPPES registry on August 19, 2013.

Where is Gaurav Gupta located?

Gaurav Gupta practices at 601 Elmwood Avenue University Of Rochester Medical Center, Rochester, NY 14642. The listed phone number is (203) 688-4242.

What is Gaurav Gupta's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Gaurav Gupta enrolled in Medicare?

Yes. Gaurav 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 Gaurav Gupta was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.