DR. SUMEET GUPTA M.D.
NPI 1871971895
Ophthalmology in Springfield, VA

Active since May 11, 2015PECOS EnrolledAccepts Medicare Assignment
89.85/100
CMS Quality Rating
8136 OLD KEENE MILL RD STE B300, SPRINGFIELD, VA 22152(703) 451-6111(703) 451-6247 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2026, May 17, 2022, Apr 12, 2022 and 3 more (6 updates tracked since 2019).

About Dr. Sumeet Gupta M.d. NPPES

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

DR. SUMEET GUPTA M.D. (NPI 1871971895) is an individual ophthalmology provider in Springfield, Virginia, licensed in Virginia (0101274578) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Woodbridge, and is a graduate of University Of Virginia School Of Medicine (2015).

NPPES Registry Identity

NPI1871971895
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SUMEET GUPTACredential: M.D.
Location Address8136 OLD KEENE MILL RD STE B300Springfield, VA 22152-1856
Mailing Address8136 Old Keene Mill Rd Ste B300Springfield, VA 22152-1856 · (703) 451-6111 · Fax (703) 451-6247
Fax(703) 451-6247
Sole ProprietorYes
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2015
Enumeration DateMay 11, 2015
Last NPPES UpdateJanuary 28, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
NPI 1871971895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in VA · 0101274578
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.
8136 OLD KEENE MILL RD STE B300, Springfield, VA 22152

Secondary Practice Location 1

Location 14565 Daisy Reid Ave Ste 310Woodbridge, VA 22192-5672 · Phone (703) 451-6111 ext. 1109 · Fax (703) 451-6247

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Sumeet 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 ID8123323235
PECOS Enrollment IDI20220606002717
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 20

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.
575 services342 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
463 services429 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.
424 services348 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).
385 services355 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.
165 services134 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.
140 services140 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22152 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.

89.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost66.18

Other Providers at the Same Location NPPES 9

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

Ophthalmology
8136 OLD KEENE MILL RD STE B300
SPRINGFIELD, VA 22152
Ophthalmology
8136 OLD KEENE MILL RD STE B300
SPRINGFIELD, VA 22152
Ophthalmology
8136 OLD KEENE MILL RD STE B300
SPRINGFIELD, VA 22152
Optometrist
8136 OLD KEENE MILL RD STE B300
SPRINGFIELD, VA 22152
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
8136 OLD KEENE MILL RD STE B300
SPRINGFIELD, VA 22152
Ophthalmology
8136 OLD KEENE MILL RD STE B300
SPRINGFIELD, VA 22152
Ophthalmology
8136 OLD KEENE MILL RD STE B300
WEST SPRINGFIELD, VA 22152
Ophthalmology
8136 OLD KEENE MILL RD STE B300
SPRINGFIELD, VA 22152

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 Sumeet Gupta's NPI number?

The NPI number for Sumeet Gupta is 1871971895. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Sumeet Gupta located?

Sumeet Gupta practices at 8136 Old Keene Mill Rd Ste B300, Springfield, VA 22152. The listed phone number is (703) 451-6111.

What is Sumeet Gupta's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sumeet Gupta enrolled in Medicare?

Yes. Sumeet 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 Sumeet Gupta was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.