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Dr. Anurag Gupta , DO

Internal Medicine • Athens, OH

Active NPI 1639313331 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

246 Parks Hall
Athens, OH 457011359

Call 7405927020 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

246 Parks Hall

Athens, OH 457011359

Telephone 7405927020
Fax 7405927021
Organization at the Same NPPES Address or Phone
Ohiohealth Corporation Facility NPI 1407292105

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Ohiohealth Corporation. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Ohio University, College Of Osteopathic Medicine

Graduation Year

2009

Medicare patients

223 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $52,935 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $34,259 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

16,704 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$692,309 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

17 years (graduated 2009)

CMS Doctors and Clinicians data list 2009 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Gupta has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Gupta as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Athens and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Internal Medicine in Athens, OH (2024, 12 clinicians with data). Median for this group: 776. Middle half: 384 to 1,127.

More Medicare Part B services than 65% of clinicians listed under Internal Medicine in Ohio (2024, 3,145 clinicians with data). Median for this group: 574. Middle half: 262 to 1,043.

Medicare-allowed amount

Close to the middle for clinicians listed under Internal Medicine in Athens, OH (2024, 12 clinicians with data). Median for this group: $53,113. Middle half: $39,735 to $68,145.

Close to the middle for clinicians listed under Internal Medicine in Ohio (2024, 3,145 clinicians with data). Median for this group: $50,782. Middle half: $23,884 to $83,638.

Paid by Medicare

Close to the middle for clinicians listed under Internal Medicine in Athens, OH (2024, 12 clinicians with data). Median for this group: $33,991. Middle half: $31,226 to $41,643.

Close to the middle for clinicians listed under Internal Medicine in Ohio (2024, 3,145 clinicians with data). Median for this group: $37,953. Middle half: $17,413 to $63,670.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Internal Medicine in Athens, OH (2024, 13 clinicians with data). Median for this group: 4,698. Middle half: 403 to 8,748.

More Part D prescriptions than 85% of clinicians listed under Internal Medicine in Ohio (2024, 3,362 clinicians with data). Median for this group: 883. Middle half: 119 to 5,445.

Part D drug cost

A higher Part D drug cost than 80% of clinicians listed under Internal Medicine in Athens, OH (2024, 13 clinicians with data). Median for this group: $470,383. Middle half: $131,346 to $527,306.

A higher Part D drug cost than 85% of clinicians listed under Internal Medicine in Ohio (2024, 3,362 clinicians with data). Median for this group: $79,160. Middle half: $4,027 to $440,452.

16 active clinicians are listed under Internal Medicine with a practice address in Athens, OH (5,283 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Athens

31.2% of these 16 clinicians have the CMS telehealth indicator.

81.2% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
335 178 $187.00 $95.24
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
285 150 $31.00 $16.24
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
74 63 $126.00 $72.65
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
52 52 $477.00 $74.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
33 33 $316.00 $48.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
19 19 $291.00 $162.52
99496 Transitional care management services for problem of high complexity
13 12 $434.00 $190.05

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 460 35,829 $3,319.20 129
Gabapentin Gabapentin 363 13,420 $4,723.31 71
Lisinopril Lisinopril 334 23,707 $1,520.55 80
Levothyroxine Sodium Levothyroxine Sodium 259 17,427 $2,101.73 66
Pantoprazole Sodium Pantoprazole Sodium 256 16,745 $2,501.67 70
Omeprazole Omeprazole 244 15,601 $2,009.21 56
Rosuvastatin Calcium Rosuvastatin Calcium 227 15,026 $2,426.91 61
Hydrochlorothiazide Hydrochlorothiazide 198 10,868 $702.38 35
Losartan Potassium Losartan Potassium 196 14,329 $1,566.77 51
Metformin Hcl Metformin Hcl 195 13,623 $923.18 51
Amlodipine Besylate Amlodipine Besylate 188 15,324 $1,003.52 57
Tamsulosin Hcl Tamsulosin Hcl 170 10,625 $1,481.21 43
Albuterol Sulfate Hfa Albuterol Sulfate 167 4,259 $5,463.89 42
Trazodone Hcl Trazodone Hcl 152 8,100 $1,728.38 40
Fluticasone Propionate Fluticasone Propionate 150 6,771 $1,814.65 42
Sertraline Hcl Sertraline Hcl 137 8,766 $841.97 32
Metoprolol Tartrate Metoprolol Tartrate 133 7,611 $673.04 30
Carvedilol Carvedilol 121 8,768 $608.10 30
Furosemide Furosemide 116 6,795 $375.14 32
Eliquis Apixaban 115 6,110 $115,876.31 31
Meloxicam Meloxicam 106 6,354 $352.69 27
Clonazepam Clonazepam 102 3,270 $963.52 17
Metoprolol Succinate Metoprolol Succinate 99 7,019 $779.92 27
Jardiance Empagliflozin 99 4,737 $92,202.91 20
Famotidine Famotidine 96 6,106 $609.09 22

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES OH 34.011912

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - INTERNAL MEDICINE

Medicare Enrollment ID

I20150909001451

Enrollment State Jurisdiction

OH

PECOS Control ID

8628200847

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Ohiohealth Corporation

24 W Green Dr, Athens, OH 457012974

Phone: 7405927040

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1174731186

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Practice Location July 11, 2019

Registered at 246 PARKS HALL, ATHENS, OH 457011359 (Tel: 7405927020)

📍
Updated Business Mailing Address July 11, 2019

Registered at 5450 FRANTZ RD STE 360, DUBLIN, OH 430164141 (Tel: 6145446155)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2019

Internal Medicine (license number reported to NPPES: OH 34.011912)

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NPI Profile Active February 25, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) February 25, 2015

Registered at 46 BARRA ROAD, SUITE 201, BIDDEFORD, ME 04005 (Tel: 2072823349)

📍
Business Mailing Address (Initial Record) February 25, 2015

Registered at 1 MEDICAL CENTER DRIVE, BIDDEFORD, ME 040059400 (Tel: 2072829080)

👤
Provider Name / Credentials (Initial Record) February 25, 2015

Recorded as ANURAG GUPTA, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2015

Internal Medicine (license number reported to NPPES: ME DO2481)

🟢
Initial NPI Registration & Enumeration April 24, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639313331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2009
Last Update: January 25, 2022
Sole Proprietor: No

Other Internal Medicine Providers in Athens

All Internal Medicine Providers in Athens

Mailing Address

5450 Frantz Rd Ste 360

Dublin, OH 430164141

Phone: 6145446155

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.