Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. NACHIKETA JIGYASU GUPTA M.D., PH.D.
NPI 1922427368
Pain Medicine - Pain Medicine in Austin, TX

Active since April 14, 2014PECOS Enrolled
94.62/100
CMS Quality Rating
5245 W HIGHWAY 290, AUSTIN, TX 78735(254) 724-2111 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 2, 2026, Sep 12, 2025, May 16, 2025 and 3 more (6 updates tracked since 2020).

About Dr. Nachiketa Jigyasu Gupta M.d., Ph.d. NPPES

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

DR. NACHIKETA JIGYASU GUPTA M.D., PH.D. (NPI 1922427368) is an individual pain medicine provider in Austin, Texas, licensed in Florida (04172025) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1922427368
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameDR. NACHIKETA JIGYASU GUPTACredential: M.D., PH.D.
Location Address5245 W HIGHWAY 290Austin, TX 78735-8963
Mailing Address5900 Balcones Dr Ste 100Austin, TX 78731-4298
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 14, 2014
Last NPPES UpdateOctober 2, 20266 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1922427368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License✔ Licensed in FL · 04172025
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedEmergency MedicineTaxonomy 207P00000X · License U9935 (TX), ME173634 (FL), A170060 (CA)
5245 W HIGHWAY 290, Austin, TX 78735

Secondary Practice Locations 3

Location 115200 NW 77th CtHialeah, FL 33016-6033 · Phone (786) 595-1800
Location 21020 S State Highway 16Fredericksburg, TX 78624-4471 · Phone (830) 997-4353
Location 31100 Veterans BlvdRedwood City, CA 94063-2037 · Phone (650) 299-2200

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

Dr. Nachiketa Jigyasu 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 ID3375887698
PECOS Enrollment IDI20241107003920, I20260203003072
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
86 services83 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
66 services60 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
63 services63 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Holy Cross Hospital

Acute Care Hospitals · Fort Lauderdale, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100073
Location4725 N Federal HwyFort Lauderdale, FL 33308 · Broward County
Emergency services

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

Adventhealth Central Texas

Acute Care Hospitals · Killeen, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450152
Location2201 S Clear Creek RoadKilleen, TX 76542 · Bell County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Pflugerville

Acute Care Hospitals · Pflugerville, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670128
Location2600 East Pflugerville ParkwayPflugerville, TX 78660 · Travis County
Emergency services

Baylor Scott & White Medical Center - Buda

Acute Care Hospitals · Buda, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670131
Location5330 Overpass Road Suite 110Buda, TX 78610 · Hays County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78735 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

Other Providers at the Same Location NPPES 18

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

Emergency Medicine
5245 W HIGHWAY 290
AUSTIN, TX 78735
Anesthesiology
5245 W HIGHWAY 290
AUSTIN, TX 78735
Anesthesiologist Assistant
5245 W HIGHWAY 290
AUSTIN, TX 78735
Internal Medicine
5245 W HIGHWAY 290
AUSTIN, TX 78735
Internal Medicine
5245 W HIGHWAY 290
AUSTIN, TX 78735
Emergency Medicine
5245 W HIGHWAY 290
AUSTIN, TX 78735
Internal Medicine (Hematology & Oncology)
5245 W HIGHWAY 290
AUSTIN, TX 78735
Internal Medicine
5245 W HIGHWAY 290
AUSTIN, TX 78735

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 Nachiketa Gupta's NPI number?

The NPI number for Nachiketa Gupta is 1922427368. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Nachiketa Gupta located?

Nachiketa Gupta practices at 5245 W Highway 290, Austin, TX 78735. The listed phone number is (254) 724-2111.

What is Nachiketa Gupta's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Nachiketa Gupta enrolled in Medicare?

Yes. Nachiketa 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 Nachiketa Gupta accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Nachiketa 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 Nachiketa Gupta affiliated with any hospitals?

According to CMS data, Nachiketa Gupta is affiliated with Holy Cross Hospital, Doctors Hospital, Adventhealth Central Texas, Baylor Scott & White Medical Center Pflugerville and Baylor Scott & White Medical Center - Buda.

When was this NPI record last updated?

The NPPES record for Nachiketa Gupta was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.