Active NPI 1073622072 Individual Practitioner Female Practitioner

Dr. Monika Gupta , MD

Specialist • Newark, DE

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Monika Gupta, MD is a certified Specialist practicing in Newark, DE. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Gupta delivers high-quality medical care to the local community at 314 E MAIN ST.

Dr. Gupta accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, new 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

314 E Main St
404 Kelway Plaza

Newark, DE 197117128

Telephone 3027376041

Fax 3027375598

Associated Practice Facility / Clinic

🏢 Premiere Physicians P.a. Facility NPI 1760580336

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Newark, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -9.0 yrs vs City Avg

City Avg: 36.0 Yrs

State Avg: 33.9 Yrs

Regional Practice Density

44 Specialists

Practicing in Newark, DE (148 Statewide)

Telehealth Adoption Rate

6.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

49.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gupta (27 Years) 27 Yrs

Newark Specialty Average (36.0 Years) 36.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	637	300	$225.35	$129.40
99213 Established patient office or other outpatient visit, typically 15 minutes	361	230	$150.00	$91.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	245	245	$250.00	$132.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$350.00	$167.30
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$350.00	$168.62
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$360.00	$168.59

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	612	305	$225.00	$129.24
99213 Established patient office or other outpatient visit, typically 15 minutes	253	165	$150.00	$91.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	243	243	$250.00	$131.14
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$360.00	$167.62
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$346.25	$167.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$350.00	$158.54

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	679	312	$225.00	$131.08
99213 Established patient office or other outpatient visit, typically 15 minutes	238	152	$150.00	$92.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	228	228	$250.00	$134.58
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$360.00	$172.23
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$350.00	$172.28

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	743	320	$225.00	$133.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	238	238	$250.00	$137.18
99213 Established patient office or other outpatient visit, typically 15 minutes	221	149	$150.00	$94.41
0012A Adm sarscov2 100mcg/0.5ml2nd	35	35	$80.00	$40.71
0011A Adm sarscov2 100mcg/0.5ml1st	34	34	$150.00	$23.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$350.00	$172.54
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$360.00	$173.67
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$350.00	$174.03
91301 Sarscov2 vac 100mcg/0.5ml im	20	20	$100.00	$0.01

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	584	285	$225.00	$112.63
99213 Established patient office or other outpatient visit, typically 15 minutes	217	137	$150.00	$77.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	215	215	$250.00	$120.54
99442 Telephone medical discussion with physician, 11-20 minutes	91	74	$139.67	$77.33
99443 Telephone medical discussion with physician, 21-30 minutes	66	54	$222.95	$112.97
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	26	26	$360.00	$177.17
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$350.00	$172.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$230.00	$111.42
G0008 Administration of influenza virus vaccine	12	12	$30.00	$17.22
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	12	12	$80.00	$29.23

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	686	331	$225.00	$111.98
99213 Established patient office or other outpatient visit, typically 15 minutes	278	171	$150.00	$76.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	227	227	$250.00	$119.98
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	36	36	$360.00	$176.99
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	28	28	$80.00	$27.57
G0008 Administration of influenza virus vaccine	28	28	$30.00	$16.88
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$350.00	$171.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$350.00	$169.59

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	560	294	$225.00	$106.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	232	232	$250.00	$115.15
99213 Established patient office or other outpatient visit, typically 15 minutes	212	137	$150.00	$72.20
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	33	33	$80.00	$23.57
G0008 Administration of influenza virus vaccine	33	33	$30.00	$20.82
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$360.00	$169.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$350.00	$163.00
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$350.00	$164.11

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	531	286	$225.00	$109.23
99213 Established patient office or other outpatient visit, typically 15 minutes	236	141	$150.00	$74.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	226	226	$250.00	$117.72
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	31	31	$360.00	$173.60
G0008 Administration of influenza virus vaccine	31	31	$30.00	$25.89
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	31	31	$35.00	$17.34
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$350.00	$168.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$350.00	$167.17

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License DE C10008120

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1073622072 (DE)

Commercial Insurance / Payer ID Blue Cross Blue Shield Of Delaware

205465821 (DE)

Practice Associates & Co-Workers

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

12 Associated Practitioners

Stephanie Juarez , LCSW

Social Worker - Clinical

NPI 1083145932

Licensed Clinical Social Worker

Christina Pecorella , NP

Nurse Practitioner - Family

NPI 1225310840

Nurse Practitioner

Dr. Ghassem Vakili , MD

Obstetrics & Gynecology - Gynecology

NPI 1295724615

Doctor of Medicine (M.D.)

Dr. Barbara Belford , PhD

Psychologist

NPI 1346382983

Doctor of Philosophy (Ph.D.)

Dr. Sathurukan Amarasingham , MD

Family Medicine

NPI 1417017930

Doctor of Medicine (M.D.)

Dr. Dilipkumar Joshi , MD

Psychiatry & Neurology - Psychiatry

NPI 1669565537

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 12, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 12, 2013

Registered at 314 E MAIN ST, 404 KELWAY PLAZA, NEWARK, DE 197117128 (Tel: 3027376041)

📍

Updated Business Mailing Address April 12, 2013

Registered at 314 E MAIN ST, 404 KELWAY PLAZA, NEWARK, DE 197117128 (Tel: 3027376041)

👤

Provider Name / Credentials Updated April 12, 2013

Recorded as MONIKA GUPTA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2013

Specialist (License #C10008120 in DE)

🟢

Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073622072

Entity Type:

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

Enumeration Date: August 30, 2006

Last Update: April 12, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

314 E Main St, 404 Kelway Plaza

Newark, DE 197117128

Phone: 3027376041

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.