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Active NPI 1487662003 Individual Practitioner Male Practitioner

Dr. Sumit Kumar Gupta , MD

Ophthalmology • Charlotte, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sumit Gupta, MD is a certified Ophthalmology practicing in Charlotte, NC. With approximately 26 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2000, Dr. Gupta delivers high-quality medical care to the local community at 2325 W ARBORS DR.

Dr. Gupta is affiliated with Charlotte Eye Ear Nose And Throat Associates Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, measurement of corneal curvature and depth of eye, 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

2325 W Arbors Dr
Suite 201

Charlotte, NC 282622663

Telephone 7042953500
Fax 7042953506
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Charlotte, NC

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +3.3 yrs vs City Avg
City Avg: 22.7 Yrs
State Avg: 27.2 Yrs
Regional Practice Density
82 Specialists

Practicing in Charlotte, NC (718 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gupta (26 Years) 26 Yrs
Charlotte Specialty Average (22.7 Years) 22.7 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
495 393 $255.00 $122.00
92136 Measurement of corneal curvature and depth of eye
115 81 $134.36 $39.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
110 110 $335.00 $159.33
66984 Removal of cataract with insertion of lens
106 64 $1509.00 $498.51
92014 Established patient complete exam of visual system
86 86 $285.00 $121.09
92134 Imaging of retina
81 73 $93.00 $38.08
92133 Imaging of optic nerve
77 76 $85.00 $34.03
92012 Established patient problem focused exam of visual system
68 64 $205.00 $85.16
92083 Exam of visual field with extended testing
51 50 $156.00 $60.25
66821 Removal of recurring cataract in lens capsule using a laser
47 42 $930.64 $324.33
99213 Established patient office or other outpatient visit, typically 15 minutes
23 23 $180.00 $85.29
92025 Ct scan of cornea
20 19 $85.20 $31.61
92250 Photography of the retina
20 20 $135.00 $35.32

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NC 2008-01681

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License MI SG075835

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5910409 (NC)
Medicaid State Provider ID
N01682 (SC)
Medicaid State Provider ID
104779114 (MI)
Commercial Insurance / Payer ID Evolutions Healthcare
2687 (NC)
Commercial Insurance / Payer ID Aetna
7719573 (NC)
Commercial Insurance / Payer ID Chcares Of Sc
89695 (SC)
Commercial Insurance / Payer ID Amerigroup
01224936 (SC)
Commercial Insurance / Payer ID Medicare Railroad
P00667584 (SC)
Commercial Insurance / Payer ID Med License
SG075835 (MI)
Commercial Insurance / Payer ID Unison Health Plan Of Sc
000000291982 (SC)

Hospital & Practice Group Affiliations

Charlotte Eye Ear Nose And Throat Associates Pa

2325 W Arbors Dr, Charlotte, NC 282622664

Phone: 7042953500

Charlotte Eye Ear Nose And Throat Associates Pa

6035 Fairview Rd, Charlotte, NC 282103256

Phone: 7042953000

Charlotte Eye Ear Nose And Throat Associates Pa

6035 Fairview Rd, Charlotte, NC 282103256

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1427519792

Doctor of Medicine (M.D.)

NPI 1629282371

Doctor of Medicine (M.D.)

NPI 1639583859

Doctor of Medicine (M.D.)

NPI 1689305922

Doctor of Audiology

Lisa Carlin , PA-C

Physician Assistant

NPI 1932419140

Physician Assistant (Certified)

Kathryn Mccurry , PA-C

Physician Assistant

NPI 1972992030

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2015

Registered at 2325 W ARBORS DR, SUITE 201, CHARLOTTE, NC 282622663 (Tel: 7042953500)

📍
Updated Business Mailing Address October 16, 2015

Registered at 6035 FAIRVIEW RD, CHARLOTTE, NC 282103256 (Tel: 7042953000)

👤
Provider Name / Credentials Updated October 16, 2015

Recorded as SUMIT GUPTA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2015

Ophthalmology (License #2008-01681 in NC)

🟢
Initial NPI Registration & Enumeration August 03, 2006

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: 1487662003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2006
Last Update: May 03, 2018
Sole Proprietor: No

Mailing Address

6035 Fairview Rd

Charlotte, NC 282103256

Phone: 7042953000

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.