Active NPI 1225353626 Individual Practitioner Male Practitioner

Dr. Divakar Gupta , MD

Ophthalmology • Durham, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Divakar Gupta, MD is a certified Ophthalmology practicing in Durham, NC. With approximately 16 years of clinical experience since graduating from Duke University School Of Medicine in 2010, Dr. Gupta delivers high-quality medical care to the local community at 2351 ERWIN RD.

Dr. Gupta is affiliated with Duke Health Integrated Practice Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, imaging of optic nerve, 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

2351 Erwin Rd

Durham, NC 277054699

Telephone 9196685079

Associated Practice Facility / Clinic

🏢 Duke Eye Center Facility NPI 1619031085

Medicare Profile & Education

Medical School

Duke University School Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Durham, NC

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -5.1 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

94 Specialists

Practicing in Durham, NC (718 Statewide)

Telehealth Adoption Rate

4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gupta (16 Years) 16 Yrs

Durham Specialty Average (21.1 Years) 21.1 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	629	410	$61.00	$15.48
92133 Imaging of optic nerve	617	532	$171.00	$33.20
99213 Established patient office or other outpatient visit, typically 15 minutes	504	353	$172.00	$85.05
92014 Established patient complete exam of visual system	430	409	$291.00	$117.18
92083 Exam of visual field with extended testing	409	348	$329.00	$58.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	120	$255.00	$118.73
92012 Established patient problem focused exam of visual system	130	124	$201.00	$82.56
66984 Removal of cataract with insertion of lens	116	78	$3705.67	$460.52
92136 Measurement of corneal curvature and depth of eye	88	44	$159.68	$35.65
92020 Examination of cornea and iris using lens device and slit lamp	65	64	$78.00	$25.66
76514 Ultrasound scan of cornea to determine thickness	52	52	$70.00	$9.85
65855 Laser repair to improve eye fluid flow	49	47	$2883.76	$268.46
92004 New patient complete exam of visual system	47	47	$350.00	$139.14
66821 Removal of recurring cataract in lens capsule using a laser	33	27	$1784.85	$331.78
92250 Photography of the retina	29	29	$189.00	$32.02
92134 Imaging of retina	20	19	$172.00	$36.95
66180 Creation of shunt to improve eye fluid flow using tissue graft	18	14	$3068.29	$1001.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$390.00	$156.56
92145 Measurement of corneal pressure	12	11	$61.00	$10.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	657	402	$201.00	$84.61
92133 Imaging of optic nerve	576	506	$171.00	$33.95
92014 Established patient complete exam of visual system	468	445	$291.00	$119.06
92083 Exam of visual field with extended testing	348	294	$329.00	$58.03
66984 Removal of cataract with insertion of lens	109	71	$3674.00	$462.87
92136 Measurement of corneal curvature and depth of eye	91	49	$160.15	$24.69
92020 Examination of cornea and iris using lens device and slit lamp	85	85	$78.00	$26.20
76514 Ultrasound scan of cornea to determine thickness	68	68	$70.00	$10.11
92004 New patient complete exam of visual system	53	53	$350.00	$141.78
99213 Established patient office or other outpatient visit, typically 15 minutes	43	39	$172.00	$85.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$255.00	$121.16
92250 Photography of the retina	29	29	$189.00	$33.29
66821 Removal of recurring cataract in lens capsule using a laser	24	22	$1872.92	$345.42
92134 Imaging of retina	23	21	$172.00	$37.87
65855 Laser repair to improve eye fluid flow	21	21	$2869.62	$274.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$390.00	$153.84
92145 Measurement of corneal pressure	16	15	$61.00	$10.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	602	393	$201.15	$85.35
92133 Imaging of optic nerve	480	431	$171.00	$34.69
92014 Established patient complete exam of visual system	460	436	$291.00	$121.00
92083 Exam of visual field with extended testing	317	278	$329.00	$59.67
66984 Removal of cataract with insertion of lens	129	84	$3674.00	$500.08
92020 Examination of cornea and iris using lens device and slit lamp	78	77	$78.00	$26.97
92136 Measurement of corneal curvature and depth of eye	68	54	$189.35	$35.46
92004 New patient complete exam of visual system	54	54	$350.00	$144.19
76514 Ultrasound scan of cornea to determine thickness	42	42	$70.00	$10.47
92250 Photography of the retina	40	39	$189.00	$34.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	40	$255.00	$122.75
99213 Established patient office or other outpatient visit, typically 15 minutes	37	37	$172.00	$86.03
92134 Imaging of retina	26	24	$172.00	$38.49
65855 Laser repair to improve eye fluid flow	24	20	$2597.50	$263.58
66821 Removal of recurring cataract in lens capsule using a laser	22	19	$1550.00	$317.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$390.00	$161.50
68841 Insertion of drug delivery implant into tear duct of eye	19	11	$143.00	$15.56
66180 Creation of shunt to improve eye fluid flow using tissue graft	14	14	$3211.00	$1039.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	610	381	$201.00	$86.34
92133 Imaging of optic nerve	498	433	$171.00	$35.22
92014 Established patient complete exam of visual system	493	462	$291.00	$121.43
92083 Exam of visual field with extended testing	326	287	$329.00	$60.50
66984 Removal of cataract with insertion of lens	121	83	$3674.00	$496.94
92136 Measurement of corneal curvature and depth of eye	88	71	$162.07	$39.79
92004 New patient complete exam of visual system	68	68	$350.00	$145.89
92020 Examination of cornea and iris using lens device and slit lamp	52	52	$78.00	$27.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$255.00	$126.04
99213 Established patient office or other outpatient visit, typically 15 minutes	36	36	$172.00	$87.20
76514 Ultrasound scan of cornea to determine thickness	26	26	$70.00	$10.72
92134 Imaging of retina	25	23	$172.00	$39.35
68761 Closure of tear duct opening using plug	23	12	$456.00	$105.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$390.00	$163.35
0356T Insertion of drug delivery implant into tear ducts	19	12	$456.00	$250.00
66180 Creation of shunt to improve eye fluid flow using tissue graft	17	17	$3211.00	$1079.01
65855 Laser repair to improve eye fluid flow	14	14	$2820.14	$281.90
92250 Photography of the retina	12	12	$189.00	$36.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	509	341	$201.00	$85.02
92014 Established patient complete exam of visual system	436	398	$291.00	$122.19
92133 Imaging of optic nerve	346	311	$171.00	$35.81
92083 Exam of visual field with extended testing	297	247	$329.00	$60.34
92020 Examination of cornea and iris using lens device and slit lamp	93	92	$78.00	$26.40
66984 Removal of cataract with insertion of lens	89	69	$3674.00	$504.82
92004 New patient complete exam of visual system	88	88	$350.00	$142.69
92136 Measurement of corneal curvature and depth of eye	65	47	$125.26	$36.09
76514 Ultrasound scan of cornea to determine thickness	55	55	$70.00	$10.81
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$172.00	$68.18
92134 Imaging of retina	28	24	$172.00	$37.09
66821 Removal of recurring cataract in lens capsule using a laser	22	19	$1550.00	$292.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$255.00	$105.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$390.00	$159.96
66180 Creation of shunt to improve eye fluid flow using tissue graft	12	11	$3211.00	$1108.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	503	318	$201.00	$84.96
92083 Exam of visual field with extended testing	404	342	$329.00	$61.11
92014 Established patient complete exam of visual system	392	358	$291.00	$121.09
92133 Imaging of optic nerve	227	218	$171.00	$35.32
99213 Established patient office or other outpatient visit, typically 15 minutes	207	143	$172.00	$71.46
66984 Removal of cataract with insertion of lens	138	99	$3674.00	$583.09
92004 New patient complete exam of visual system	102	102	$350.00	$145.72
92136 Measurement of corneal curvature and depth of eye	94	50	$108.89	$32.62
92020 Examination of cornea and iris using lens device and slit lamp	82	82	$78.00	$26.61
76514 Ultrasound scan of cornea to determine thickness	79	79	$70.00	$11.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	37	$255.00	$100.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$390.00	$159.18
92134 Imaging of retina	23	22	$172.00	$39.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$255.00	$103.14
66180 Creation of shunt to improve eye fluid flow using tissue graft	15	15	$3211.00	$1088.26
66821 Removal of recurring cataract in lens capsule using a laser	15	13	$1653.33	$332.33
66170 Creation of eye fluid drainage tract	12	12	$2838.00	$1067.40
65855 Laser repair to improve eye fluid flow	12	12	$2597.50	$270.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	420	247	$192.62	$83.70
92083 Exam of visual field with extended testing	372	310	$329.00	$60.74
92014 Established patient complete exam of visual system	309	285	$280.18	$120.45
99213 Established patient office or other outpatient visit, typically 15 minutes	263	161	$162.54	$68.95
92133 Imaging of optic nerve	171	167	$171.00	$35.84
92004 New patient complete exam of visual system	115	115	$341.52	$143.00
92136 Measurement of corneal curvature and depth of eye	83	41	$143.20	$48.34
76514 Ultrasound scan of cornea to determine thickness	83	83	$70.00	$13.83
92020 Examination of cornea and iris using lens device and slit lamp	77	76	$78.00	$25.56
66984 Removal of cataract with insertion of lens	76	57	$3674.00	$579.75
92134 Imaging of retina	26	24	$172.00	$39.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$240.44	$103.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$247.84	$99.74
65855 Laser repair to improve eye fluid flow	12	12	$2251.17	$246.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$374.67	$157.60
66180 Creation of shunt to improve eye fluid flow using tissue graft	12	11	$3211.00	$1096.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	359	209	$185.00	$80.70
92083 Exam of visual field with extended testing	213	179	$329.00	$59.99
99213 Established patient office or other outpatient visit, typically 15 minutes	181	132	$153.00	$69.39
92014 Established patient complete exam of visual system	162	150	$269.00	$117.36
92133 Imaging of optic nerve	74	73	$171.00	$34.69
92004 New patient complete exam of visual system	60	60	$325.00	$140.03
76514 Ultrasound scan of cornea to determine thickness	51	51	$70.00	$13.71
92020 Examination of cornea and iris using lens device and slit lamp	43	43	$78.00	$25.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$238.00	$101.60
92083 Exam of visual field with extended testing	34	34	$129.00	$27.26
92136 Measurement of corneal curvature and depth of eye	32	16	$147.00	$57.59
66984 Removal of cataract with insertion of lens	32	23	$3593.63	$570.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$227.00	$101.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$367.00	$157.25
92134 Imaging of retina	21	18	$172.00	$38.99
92133 Imaging of optic nerve	18	18	$113.00	$22.08
66180 Creation of shunt to improve eye fluid flow using tissue graft	14	14	$3211.00	$1088.61

Medical Specialties & State Licenses

CMS Verified: 2023-09-21

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NC 2015-00607

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 WA MD60301767

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1225353626 (WA)

Hospital & Practice Group Affiliations

Duke Health Integrated Practice Inc

40 Duke Medicine Cir, Durham, NC 277104000

Phone: 9196848111

Duke Health Integrated Practice Inc

3400 Wake Forest Rd, Raleigh, NC 276097317

Phone: 9196204855

Duke Health Integrated Practice Inc

2351 Erwin Rd, Durham, NC 277054699

Phone: 9196848111

Duke Health Integrated Practice Inc

3480 Wake Forest Rd, Raleigh, NC 276097376

Phone: 9196848111

Duke Health Integrated Practice Inc

2301 Erwin Rd, Durham, NC 277054699

Phone: 9196848111

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Henry Tseng , MD

Ophthalmology

NPI 1043224058

Doctor of Medicine (M.D.)

Dr. Jason Liss , MD

Ophthalmology

NPI 1245352400

Doctor of Medicine (M.D.)

Dr. Michelle Go , MD

Ophthalmology

NPI 1245641851

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location September 21, 2023

Registered at 2351 ERWIN RD, DURHAM, NC 277054699 (Tel: 9196685079)

📍

Updated Business Mailing Address September 21, 2023

Registered at 2351 ERWIN RD, DURHAM, NC 277054699 (Tel: 9196685079)

✅

NPI Profile Active July 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2014

Registered at 908 JEFFERSON ST, SEATTLE, WA 981042433 (Tel: 2068972020)

📍

Updated Business Mailing Address July 10, 2014

Registered at PO BOX 50095, SEATTLE, WA 981455095 (Tel: 2065436420)

👤

Provider Name / Credentials Updated July 10, 2014

Recorded as DIVAKAR GUPTA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2014

Ophthalmology (License #MD60301767 in WA)

🟢

Initial NPI Registration & Enumeration March 30, 2010

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: 1225353626

Entity Type:

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

Enumeration Date: March 30, 2010

Last Update: September 21, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2351 Erwin Rd

Durham, NC 277054699

Phone: 9196685079

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.