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PUNEET GUPTA PA
NPI 1912022773
Physician Assistant in West Burlington, IA

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
1225 S GEAR AVE, STE 254, WEST BURLINGTON, IA 52655(319) 768-3321 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Puneet Gupta Pa NPPES

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

PUNEET GUPTA PA (NPI 1912022773) is an individual physician assistant in West Burlington, Iowa, licensed in Iowa (001797) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center / Cherry Hill, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1912022773
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePUNEET GUPTACredential: PA
Location Address1225 S GEAR AVE, STE 254West Burlington, IA 52655-1691
Mailing AddressPo Box 540West Burlington, IA 52655-0540 · (319) 768-3450 · Fax (319) 768-3460
Phone(319) 768-3321
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 20, 2007
Last NPPES UpdateNovember 19, 2007
✔ NPI 1912022773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IA · 001797
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1225 S GEAR AVE, West Burlington, IA 52655
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Other Identifiers 4

Other252993Midlands Choice
Other01149Wellmark Blue Cross Blue
OtherP00407816IA · Rr Medicare
Medicare PINI19888IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.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

Puneet Gupta Pa 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 ID8123124187
PECOS Enrollment IDI20150401000044
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 4

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
85 services46 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.
47 services41 patients
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.
31 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500026
Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County
Emergency services Birthing friendly

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500072
Location939 Caroline StPort Angeles, WA 98362 · Clallam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

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.

LISA ANN LAKE DNP
Nurse Practitioner (Family)
1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1570
DR. JENNIFER K BERGE M.D.
Otolaryngology
1225 S GEAR AVE, STE 255
WEST BURLINGTON, IA 52655
Des Moines County (319) 752-2725
RAJ BHUI
Family Medicine
1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1570
RICHARD E WHITAKER LMFT
Counselor (Mental Health)
1225 S GEAR AVE, STE 252
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-3700
DR. EUGENE R PANKEY D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1225 S GEAR AVE, MERCY PLZ STE 156
W BURLINGTON, IA 52655
Des Moines County (319) 752-2659
ANEESH NEEKHRA MD
Psychiatry & Neurology (Neurology)
1225 S GEAR AVE, SUITE 153, MERCY PLAZA
WEST BURLINGTON, IA 52655
Des Moines County (319) 754-4400
JAMESON ORTHOPEDIC CLINIC PC
Orthopaedic Surgery
1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655
Des Moines County (319) 752-4553
MARY CATHERINE BENTLER P.A.
Physician Assistant
1225 S GEAR AVE, SUITE 153
WEST BURLINGTON, IA 52655
Des Moines County (319) 754-4400

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 Puneet Gupta's NPI number?

The NPI number for Puneet Gupta is 1912022773. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Puneet Gupta located?

Puneet Gupta practices at 1225 S Gear Ave Ste 254, West Burlington, IA 52655. The listed phone number is (319) 768-3321.

What is Puneet Gupta's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Puneet Gupta enrolled in Medicare?

Yes. Puneet 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.

What insurance does Puneet Gupta accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Puneet 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 Puneet Gupta affiliated with any hospitals?

According to CMS data, Puneet Gupta is affiliated with Swedish Medical Center / Cherry Hill, Swedish Edmonds Hospital and Olympic Medical Center.

When was this NPI record last updated?

The NPPES record for Puneet Gupta was last updated on November 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.