ACHAL GUPTA M.D.
NPI 1871729210
Family Medicine in Stanley, WI
About Achal Gupta M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACHAL GUPTA M.D. (NPI 1871729210) is an individual family medicine provider in Stanley, Wisconsin, licensed in Wisconsin (54799-20) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Achal 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.
Medicare Billing Reassignments
5Medicare enrollment records show Achal Gupta reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stanley, WI 54768
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1356311252 (Wisconsin)
- 168 clinicians in this Medicare group
Chippewa Falls, WI 54729
- Reassigned Medicare billing, Wisconsin enrollment
- 190 clinicians in this Medicare group
Shawano, WI 54166
- Reassigned Medicare billing, Wisconsin enrollment
- 742 clinicians in this Medicare group
Oconto Falls, WI 54154
- Reassigned Medicare billing, Wisconsin enrollment
- 216 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 673 clinicians in this Medicare group
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 8
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Vincent Hospital
Acute Care Hospitals · Green Bay, WISt Mary's Hospital Medical Center
Acute Care Hospitals · Green Bay, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54768 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
STANLEY, WI 54768
STANLEY, WI 54768
STANLEY, WI 54768
STANLEY, WI 54768
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 Achal Gupta's NPI number?
The NPI number for Achal Gupta is 1871729210. It was assigned to this individual provider in the NPPES registry on May 29, 2009.
Where is Achal Gupta located?
Achal Gupta practices at 1120 Pine St, Stanley, WI 54768. The listed phone number is (715) 644-5530.
What is Achal Gupta's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Achal Gupta enrolled in Medicare?
Yes. Achal 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 Achal Gupta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Achal Gupta reassigns Medicare benefits to 5 organizations: Aspirus Stanley Hospital & Clinics, Inc. (Stanley, WI), Prevea Clinic, Inc. (Chippewa Falls, WI), St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Shawano, WI), St Clare Memorial Hospital, Inc (Oconto Falls, WI) and St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI). 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 Achal Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Achal Gupta accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Network Health list Achal 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 Achal Gupta affiliated with any hospitals?
According to CMS data, Achal Gupta is affiliated with St Vincent Hospital and St Mary's Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Achal Gupta was last updated on August 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Achal Gupta, M.D. · NPI 1871729210
Family Medicine physician in Stanley, Wisconsin. Individual provider, active in the CMS NPPES registry since May 29, 2009.
## Identity
- **NPI:** 1871729210 (Entity type: Individual)
- **Enumerated:** May 29, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 54799-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 PINE ST, Stanley, WI 54768-1297
- **Phone:** (715) 644-5530
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Aspirus Stanley Hospital & Clinics, Inc. (NPI 1053391730, Stanley, WI); Prevea Clinic, Inc. (NPI 1588110969, Chippewa Falls, WI); St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (NPI 1194314013, Shawano, WI); St Clare Memorial Hospital, Inc (NPI 1851477913, Oconto Falls, WI); St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (NPI 1275799413, Sheboygan, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** August 20, 2018
- **Other identifiers:** Other 54799 (WI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1871729210) · Data from the CMS NPPES public registry.