Active NPI 1295915395 Individual Practitioner Male Practitioner

Dr. Prashant Gupta , MD

General Practice • Kaplan, LA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prashant Gupta, MD is a certified General Practice practicing in Kaplan, LA. With approximately 21 years of clinical experience since graduating from Tulane University School Of Medicine in 2005, Dr. Gupta delivers high-quality medical care to the local community at 801 N MONTGOMERY AVE.

Dr. Gupta maintains professional affiliations with Vermilion Emergency Group Llc, Hospital Service District No 1 Parish Of Avoyelles State Of La, Emergency Group Of St Landry Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

801 N Montgomery Ave

Kaplan, LA 705482007

Telephone 3376438400

Fax 3376431544

Associated Practice Facility / Clinic

🏢 Children & Adolescent Clinic Facility NPI 1235397159

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Kaplan, LA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs Matches City Avg

City Avg: 21.0 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Kaplan, LA (173 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

91.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gupta (21 Years) 21 Yrs

Kaplan Specialty Average (21.0 Years) 21.0 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
99285 Emergency department visit for life threatening or functioning severity	141	129	$1910.04	$168.33
99284 Emergency department visit with moderate level of medical decision making	118	111	$1279.78	$115.85
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	77	72	$97.71	$7.76
99291 Critical care, first 30-74 minutes	22	21	$2410.73	$203.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	153	142	$1983.41	$173.70
99284 Emergency department visit with moderate level of medical decision making	142	125	$1273.48	$118.43
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	99	90	$96.77	$7.88
99291 Critical care, first 30-74 minutes	37	37	$2483.14	$208.34
99283 Emergency department visit with low level of medical decision making	13	13	$652.31	$70.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	210	193	$1949.88	$179.60
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	137	121	$95.25	$8.13
99284 Emergency department visit with moderate level of medical decision making	108	101	$1338.37	$123.45
99283 Emergency department visit with low level of medical decision making	51	50	$702.12	$73.26
99291 Critical care, first 30-74 minutes	25	23	$2544.52	$216.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	190	169	$1968.46	$182.30
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	143	126	$96.43	$8.24
99284 Emergency department visit with moderate level of medical decision making	125	120	$1359.96	$124.84
99283 Emergency department visit with low level of medical decision making	76	72	$707.13	$73.44
71046 X-ray of chest, 2 views	19	17	$108.00	$10.57
99291 Critical care, first 30-74 minutes	16	16	$2661.94	$220.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	182	163	$1922.00	$177.97
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	141	123	$95.09	$8.51
99284 Emergency department visit with moderate level of medical decision making	107	103	$1327.92	$122.10
99283 Emergency department visit with low level of medical decision making	67	62	$680.03	$66.30
71046 X-ray of chest, 2 views	35	33	$108.00	$10.90
99291 Critical care, first 30-74 minutes	26	26	$2620.88	$225.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	203	183	$1739.74	$172.73
99284 Emergency department visit with moderate level of medical decision making	135	118	$1194.04	$117.58
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	125	113	$87.00	$8.29
99283 Emergency department visit with low level of medical decision making	106	96	$635.92	$61.97
71046 X-ray of chest, 2 views	56	52	$104.57	$10.76
99291 Critical care, first 30-74 minutes	18	17	$2367.33	$220.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	187	170	$1334.23	$172.84
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	129	114	$62.14	$8.33
99284 Emergency department visit with moderate level of medical decision making	123	110	$875.57	$117.21
99283 Emergency department visit with low level of medical decision making	100	91	$456.78	$61.73
71046 X-ray of chest, 2 views	62	59	$76.00	$10.74
99219 Hospital observation care, typically 50 minutes	22	22	$160.00	$129.77
99291 Critical care, first 30-74 minutes	14	14	$1797.64	$220.79
71045 X-ray of chest, 1 view	11	11	$64.00	$9.00
99220 Hospital observation care, typically 70 minutes	11	11	$185.00	$177.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	187	169	$1420.76	$171.41
99284 Emergency department visit with moderate level of medical decision making	145	138	$950.06	$117.00
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	124	111	$68.15	$8.31
99283 Emergency department visit with low level of medical decision making	87	82	$481.21	$61.68
71020 X-ray of chest, 2 views, front and side	52	48	$76.00	$10.71
99291 Critical care, first 30-74 minutes	24	24	$2128.63	$220.41
71010 X-ray of chest, 1 view, front	12	12	$64.00	$8.97

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License LA 201782

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Surgery

NUCC Taxonomy Code: 208600000X

State License LA 201782

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1500305 (LA)

Hospital & Practice Group Affiliations

Vermilion Emergency Group Llc

1310 W 7th St, Kaplan, LA 705482910

Phone: 3376438300

Hospital Service District No 1 Parish Of Avoyelles State Of La

427 Evergreen St, Bunkie, LA 713223901

Phone: 3183466681

Emergency Group Of St Landry Llc

800 E Main St, Ville Platte, LA 705864618

Phone: 3373635684

Practice Associates & Co-Workers

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

2 Associated Practitioners

Renee Sons , FNP-C

Nurse Practitioner - Family

NPI 1548783400

Family Nurse Practitioner (Certified)

Dr. Padmini Gupta , MD

Pediatrics

NPI 1629028774

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 27, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 27, 2016

Registered at 801 N MONTGOMERY AVE, KAPLAN, LA 705482007 (Tel: 3376438400)

📍

Updated Business Mailing Address June 27, 2016

Registered at 801 N MONTGOMERY AVE, KAPLAN, LA 705482007 (Tel: 3376438400)

👤

Provider Name / Credentials Updated June 27, 2016

Recorded as PRASHANT GUPTA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2016

Surgery (License #201782 in LA)

🟢

Initial NPI Registration & Enumeration November 06, 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: 1295915395

Entity Type:

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

Enumeration Date: November 06, 2007

Last Update: June 27, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

801 N Montgomery Ave

Kaplan, LA 705482007

Phone: 3376438400

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.