NUPUR VERMA MD
NPI 1780106997
Family Medicine in Gilbert, AZ

Active since July 10, 2017PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
155 E WARNER RD, GILBERT, AZ 85296(480) 649-6600(480) 649-6700 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2025, Jul 21, 2022, Jan 7, 2022 and 2 more (5 updates tracked since 2017).

About Nupur Verma Md NPPES

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

NUPUR VERMA MD (NPI 1780106997) is an individual family medicine provider in Gilbert, Arizona, licensed in Arizona (73235) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1780106997
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNUPUR VERMACredential: MD
Location Address155 E WARNER RDGilbert, AZ 85296-3082
Mailing Address155 E Warner RdGilbert, AZ 85296-3082 · (480) 649-6600 · Fax (480) 649-6700
Fax(480) 649-6700
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 10, 2017
Last NPPES UpdateNovember 25, 20255 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
NPI 1780106997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 73235
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
155 E WARNER RD, Gilbert, AZ 85296

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

Nupur Verma 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 ID5799057808
PECOS Enrollment IDI20240808000417
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 10

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.
142 services115 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
62 services57 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.
54 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services35 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
35 services29 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85296 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Internal Medicine
155 E WARNER RD
GILBERT, AZ 85296
Nurse Practitioner (Family)
155 E WARNER RD
GILBERT, AZ 85296
Family Medicine (Adult Medicine)
155 E WARNER RD
GILBERT, AZ 85296
Clinic/Center (Primary Care)
155 E WARNER RD
GILBERT, AZ 85296
Family Medicine
155 E WARNER RD
GILBERT, AZ 85296
Family Medicine
155 E WARNER RD
GILBERT, AZ 85296
Family Medicine (Sports Medicine)
155 E WARNER RD
GILBERT, AZ 85296
Pediatrics
155 E WARNER RD
GILBERT, AZ 85296

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 Nupur Verma's NPI number?

The NPI number for Nupur Verma is 1780106997. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Where is Nupur Verma located?

Nupur Verma practices at 155 E Warner Rd, Gilbert, AZ 85296. The listed phone number is (480) 649-6600.

What is Nupur Verma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nupur Verma enrolled in Medicare?

Yes. Nupur Verma 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 Nupur Verma accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Nupur Verma 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.

When was this NPI record last updated?

The NPPES record for Nupur Verma was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.