Active NPI 1184882904 Individual Practitioner Male Practitioner

Dr. Anshu Kumar Gupta , MD

Plastic Surgery • Encinitas, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anshu Gupta, MD is a certified Plastic Surgery practicing in Encinitas, CA. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Gupta delivers high-quality medical care to the local community at 700 GARDEN VIEW CT STE 208.

Dr. Gupta accepts Medicare assignment.

Frequently performed procedures and clinical services include limited ultrasound scan of 1 breast, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

700 Garden View Ct Ste 208

Encinitas, CA 920242478

Telephone 7604367600

Fax 7604367606

Associated Practice Facility / Clinic

🏢 Anshu Gupta Md A Professional Corporation Facility NPI 1548495526

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Encinitas, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs -1.0 yrs vs City Avg

City Avg: 29.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Encinitas, CA (941 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gupta (28 Years) 28 Yrs

Encinitas Specialty Average (29.0 Years) 29.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76642 Limited ultrasound scan of 1 breast	21	13	$636.43	$121.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$518.00	$176.49
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$237.00	$97.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$346.00	$137.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$650.00	$232.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76642 Limited ultrasound scan of 1 breast	21	15	$355.71	$110.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$346.00	$133.86
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	18	16	$2548.00	$386.05
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$237.00	$98.45
19342 Placement of implant on separate day of breast reconstruction	18	15	$3578.67	$948.33
15777 Implantation of biologic implant to soft tissue	16	12	$845.00	$278.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$518.00	$168.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$650.00	$237.43

HCPCS Code & Description	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	31	26	$346.00	$137.36
99213 Established patient office or other outpatient visit, typically 15 minutes	22	18	$237.00	$99.04
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	16	14	$2548.00	$369.70
15777 Implantation of biologic implant to soft tissue	15	14	$811.20	$257.97
19342 Placement of implant on separate day of breast reconstruction	13	12	$3491.08	$849.89
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	12	12	$468.00	$41.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$650.00	$237.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	24	17	$2548.00	$396.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	16	$346.00	$117.16
19342 Placement of implant on separate day of breast reconstruction	18	15	$3497.33	$1060.52
15777 Implantation of biologic implant to soft tissue	18	14	$807.44	$273.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$650.00	$219.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$518.00	$174.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$342.00	$115.97
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	13	12	$468.00	$44.81
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	13	12	$3438.00	$574.56
19357 Insertion of tissue expander in breast	11	11	$5672.73	$1923.50
19328 Removal of intact breast implant	11	11	$2295.27	$455.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	28	$234.24	$78.28
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$650.00	$214.65
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	22	17	$2548.00	$405.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	17	$462.00	$152.40
19342 Placement of implant on separate day of breast reconstruction	21	18	$3555.43	$999.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$346.00	$114.31
15777 Implantation of biologic implant to soft tissue	13	13	$830.92	$274.37
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	13	11	$461.45	$50.05
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	11	11	$3438.00	$653.10

HCPCS Code & Description	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	24	19	$268.35	$106.12
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	21	18	$2111.31	$365.47
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$510.30	$192.92
19366 Plastic surgery to reconstruct breast	18	14	$3495.57	$1632.96
19342 Placement of implant on separate day of breast reconstruction	17	15	$2367.03	$1050.75
15777 Implantation of biologic implant to soft tissue	16	15	$1000.00	$252.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$361.14	$142.62
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$180.36	$71.99
19357 Insertion of tissue expander in breast	11	11	$3976.17	$1587.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$510.30	$198.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	19	$268.35	$104.30
15777 Implantation of biologic implant to soft tissue	23	22	$1000.00	$236.91
19342 Placement of implant on separate day of breast reconstruction	19	18	$2367.03	$959.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$361.14	$139.81
19357 Insertion of tissue expander in breast	17	15	$3976.17	$1613.49
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	15	14	$2111.31	$366.16
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$180.36	$71.22
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	11	11	$1060.91	$638.63

Medical Specialties & State Licenses

CMS Verified: 2023-03-24

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License CA A87872

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Maria Valle-Senteno

Specialist/Technologist, Other

NPI 1861181661

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 24, 2023

Registered at 700 GARDEN VIEW CT STE 208, ENCINITAS, CA 920242478 (Tel: 7604367600)

📍

Updated Business Mailing Address March 24, 2023

Registered at 700 GARDEN VIEW CT STE 208, ENCINITAS, CA 920242478 (Tel: 7604367600)

✅

NPI Profile Active October 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 24, 2014

Registered at 462 STEVENS AVENUE, SUITE 206, SOLANA BEACH, CA 920752065 (Tel: 7604367600)

📍

Updated Business Mailing Address October 24, 2014

Registered at 462 STEVENS AVENUE, SUITE 206, SOLANA BEACH, CA 920752065 (Tel: 7604367600)

👤

Provider Name / Credentials Updated October 24, 2014

Recorded as ANSHU GUPTA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2014

Plastic Surgery (License #A87872 in CA)

🟢

Initial NPI Registration & Enumeration May 29, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184882904

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 29, 2008

Last Update: March 24, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

700 Garden View Ct Ste 208

Encinitas, CA 920242478

Phone: 7604367600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.