Active NPI 1326182015 Individual Practitioner Male Practitioner

Dr. Gopal N. Gupta , MD

Urology • Maywood, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Gopal Gupta, MD is a certified Urology practicing in Maywood, IL. With approximately 24 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 2002, Dr. Gupta delivers high-quality medical care to the local community at 2160 S 1ST AVE.

Dr. Gupta maintains professional affiliations with Loyola University Medical Center, Loyola Medical Group Llc, Saint Joseph Regional Medical Center Inc and 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, telephone medical discussion with physician, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2160 S 1st Ave
Fahey Center, Bldg 54

Maywood, IL 601533328

Telephone 7082165098

Fax 7081261699

Associated Practice Facility / Clinic

🏢 Loyola University Medical Center Facility NPI 1376521575

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Maywood, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +2.6 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

39 Specialists

Practicing in Maywood, IL (663 Statewide)

Telehealth Adoption Rate

25.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

79.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gupta (24 Years) 24 Yrs

Maywood Specialty Average (21.4 Years) 21.4 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	193	149	$423.00	$99.53
99443 Telephone medical discussion with physician, 21-30 minutes	187	148	$390.00	$100.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	55	$616.00	$145.42
52000 Diagnostic exam of bladder and urethra using an endoscope	61	44	$622.00	$84.27
76872 Ultrasound scan of pelvic region through rectum	54	54	$150.00	$32.46
55700 Biopsy of prostate gland	51	51	$508.00	$138.17
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	44	44	$771.00	$189.46
76377 3D radiographic procedure with computerized image postprocessing	43	43	$172.00	$38.74
55706 Needle stereotactic and image-guided biopsy of prostate gland	38	38	$1276.00	$396.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$572.00	$139.06
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$286.00	$68.19
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	13	12	$133.00	$32.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$352.00	$86.31
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	12	12	$7061.08	$1148.54

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	216	160	$417.69	$100.90
99443 Telephone medical discussion with physician, 21-30 minutes	137	98	$409.36	$100.74
55706 Needle stereotactic and image-guided biopsy of prostate gland	53	53	$1383.43	$389.50
52000 Diagnostic exam of bladder and urethra using an endoscope	52	38	$740.73	$83.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	42	$608.53	$149.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	43	43	$760.72	$191.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$564.63	$140.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$352.83	$133.64
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$284.29	$69.25
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	11	11	$8622.55	$1217.34

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	218	168	$416.00	$101.80
99443 Telephone medical discussion with physician, 21-30 minutes	92	67	$416.00	$103.46
52000 Diagnostic exam of bladder and urethra using an endoscope	72	47	$769.00	$86.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$564.00	$145.24
76377 3D radiographic procedure with computerized image postprocessing	45	45	$172.00	$40.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	38	$607.00	$152.32
99213 Established patient office or other outpatient visit, typically 15 minutes	40	36	$282.00	$71.29
76872 Ultrasound scan of pelvic region through rectum	34	33	$150.00	$33.85
55700 Biopsy of prostate gland	28	28	$794.00	$137.85
55706 Needle stereotactic and image-guided biopsy of prostate gland	27	27	$1422.00	$398.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$345.00	$135.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$580.00	$209.14
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	$758.00	$196.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	14	$261.00	$107.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$347.00	$90.25
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$1253.00	$163.57

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	196	151	$413.90	$107.02
52000 Diagnostic exam of bladder and urethra using an endoscope	70	44	$769.00	$87.17
99443 Telephone medical discussion with physician, 21-30 minutes	57	50	$407.72	$107.88
99213 Established patient office or other outpatient visit, typically 15 minutes	39	37	$282.00	$72.82
76872 Ultrasound scan of pelvic region through rectum	33	33	$150.00	$34.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	27	$345.00	$139.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	27	$580.00	$213.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$564.00	$147.95
55700 Biopsy of prostate gland	27	27	$794.00	$138.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	21	$607.00	$158.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$758.00	$200.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	11	$261.00	$110.18
76377 3D radiographic procedure with computerized image postprocessing	19	19	$172.00	$41.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$351.00	$121.87
51700 Simple bladder irrigation and/or instillation	11	11	$295.00	$17.40

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	202	155	$204.19	$85.46
99443 Telephone medical discussion with physician, 21-30 minutes	98	77	$173.88	$84.53
52000 Diagnostic exam of bladder and urethra using an endoscope	67	45	$769.00	$90.98
51700 Simple bladder irrigation and/or instillation	65	44	$295.00	$17.89
76872 Ultrasound scan of pelvic region through rectum	49	49	$295.00	$35.15
55700 Biopsy of prostate gland	45	45	$794.00	$145.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$449.00	$185.25
76377 3D radiographic procedure with computerized image postprocessing	36	36	$202.00	$42.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	27	$288.00	$121.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	17	$186.00	$77.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	12	$580.00	$218.70

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	250	191	$193.00	$83.09
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	71	71	$449.00	$179.99
52000 Diagnostic exam of bladder and urethra using an endoscope	67	43	$769.00	$87.88
51700 Simple bladder irrigation and/or instillation	65	41	$295.00	$16.66
76872 Ultrasound scan of pelvic region through rectum	56	56	$295.00	$34.38
55700 Biopsy of prostate gland	56	56	$794.00	$144.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	53	45	$288.00	$117.61
76377 3D radiographic procedure with computerized image postprocessing	51	51	$202.00	$42.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	24	$580.00	$207.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	16	$186.00	$77.05
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	16	16	$8724.00	$1600.81
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	15	15	$5058.00	$367.71
51990 Suture suspension of bladder canal (urethra) to control leakage using an endoscope	15	15	$3594.00	$414.89

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	276	205	$195.85	$81.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	77	77	$455.13	$181.70
52000 Diagnostic exam of bladder and urethra using an endoscope	55	39	$769.00	$89.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	45	$298.50	$117.92
55700 Biopsy of prostate gland	44	44	$794.00	$142.09
76872 Ultrasound scan of pelvic region through rectum	44	44	$295.00	$35.17
76377 3D radiographic procedure with computerized image postprocessing	39	39	$202.00	$42.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	18	$189.11	$77.33
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	29	29	$246.00	$34.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	26	$617.63	$215.96
51700 Simple bladder irrigation and/or instillation	22	20	$295.00	$16.85
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	11	11	$8724.00	$1289.70

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	287	208	$193.00	$82.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	79	79	$449.00	$182.09
52000 Diagnostic exam of bladder and urethra using an endoscope	62	41	$769.00	$112.07
51700 Simple bladder irrigation and/or instillation	62	41	$295.00	$19.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	43	$288.00	$118.22
55700 Biopsy of prostate gland	37	37	$794.00	$146.26
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	37	37	$246.00	$34.10
76872 Ultrasound scan of pelvic region through rectum	36	36	$295.00	$34.92
50545 Removal of kidney and lymph nodes using an endoscope	17	17	$7989.00	$1418.52
51702 Simple insertion of temporary bladder tube	12	12	$281.00	$14.32
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	11	11	$5058.00	$354.05
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	11	11	$8724.00	$1529.07
38570 Removal of abdominal cavity lymph nodes using an endoscope	11	11	$5341.00	$286.58

Medical Specialties & State Licenses

CMS Verified: 2021-04-09

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IL 036128866

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Loyola University Medical Center

2160 S 1st Ave, Maywood, IL 601533328

Phone: 7082169000

Loyola Medical Group Llc

3231 Euclid Ave, Berwyn, IL 604023472

Phone: 7087830700

Loyola University Medical Center

715 W N Ave, Melrose Park, IL 601601612

Phone: 7084504554

Loyola University Medical Center

719 W N Ave, Melrose Park, IL 601601612

Phone: 7085386773

Loyola University Medical Center

300 N York Rd, Elmhurst, IL 601262318

Phone: 6308330630

Saint Joseph Regional Medical Center Inc

611 E Douglas Rd, Mishawaka, IN 465451467

Phone: 5743356830

Loyola University Medical Center

701 W N Ave, Melrose Park, IL 601601612

Phone: 7086813200

Practice Associates & Co-Workers

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

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NPI 1003242744

Doctor of Osteopathic Medicine (D.O.)

Dr. Paige Song , MD

Student in an Organized Health Care Education/Training Program

NPI 1003394743

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 June 11, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 11, 2012

Registered at 2160 S 1ST AVE, FAHEY CENTER, BLDG 54, MAYWOOD, IL 601533328 (Tel: 7082165098)

📍

Updated Business Mailing Address June 11, 2012

Registered at 2160 S 1ST AVE, FAHEY CENTER, BLDG 54, MAYWOOD, IL 601533328 (Tel: 7082165098)

👤

Provider Name / Credentials Updated June 11, 2012

Recorded as GOPAL GUPTA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2012

Urology (License #036128866 in IL)

🟢

Initial NPI Registration & Enumeration February 16, 2007

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: 1326182015

Entity Type:

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

Enumeration Date: February 16, 2007

Last Update: April 09, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2160 S 1st Ave, Fahey Center, Bldg 54

Maywood, IL 601533328

Phone: 7082165098

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.