Active NPI 1639313331 Individual Practitioner Male Practitioner

Dr. Anurag Gupta , DO

Internal Medicine • Athens, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anurag Gupta, DO is a certified Internal Medicine practicing in Athens, OH. With approximately 17 years of clinical experience since graduating from Ohio University, College Of Osteopathic Medicine in 2009, Dr. Gupta delivers high-quality medical care to the local community at 246 PARKS HALL.

Dr. Gupta is affiliated with Ohiohealth Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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, annual wellness visit; includes a personalized prevention plan of service (pps), initial visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

246 Parks Hall

Athens, OH 457011359

Telephone 7405927020

Fax 7405927021

Associated Practice Facility / Clinic

🏢 Athens Medical Associates, Llc Facility NPI 1982714358

Medicare Profile & Education

Medical School

Ohio University, College Of Osteopathic Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Athens, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -1.6 yrs vs City Avg

City Avg: 18.6 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

18 Specialists

Practicing in Athens, OH (5516 Statewide)

Telehealth Adoption Rate

27.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gupta (17 Years) 17 Yrs

Athens Specialty Average (18.6 Years) 18.6 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	335	178	$187.00	$95.24
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	285	150	$31.00	$16.24
99213 Established patient office or other outpatient visit, typically 15 minutes	74	63	$126.00	$72.65
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	52	52	$477.00	$74.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$316.00	$48.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$291.00	$162.52
99496 Transitional care management services for problem of high complexity	13	12	$434.00	$190.05

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	270	164	$187.00	$99.05
99213 Established patient office or other outpatient visit, typically 15 minutes	107	83	$126.00	$75.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$291.00	$162.53
80305 Testing for presence of drug, read by direct observation	18	18	$38.00	$11.80
99496 Transitional care management services for problem of high complexity	18	18	$434.00	$208.71
G0008 Administration of influenza virus vaccine	15	15	$36.00	$29.36
90662 Influenza vaccine split virus, preservative free	13	13	$197.00	$71.67
99495 Transitional care management services for problem of at least moderate complexity	12	12	$309.00	$150.84

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	187	112	$187.00	$100.71
99213 Established patient office or other outpatient visit, typically 15 minutes	136	96	$126.00	$83.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$291.00	$161.19

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	149	88	$187.00	$126.31
99213 Established patient office or other outpatient visit, typically 15 minutes	80	61	$125.56	$88.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$291.00	$164.49
99442 Telephone medical discussion with physician, 11-20 minutes	20	16	$120.75	$84.92
G0008 Administration of influenza virus vaccine	12	12	$36.00	$16.19

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	60	41	$187.00	$106.94
99213 Established patient office or other outpatient visit, typically 15 minutes	55	40	$126.00	$73.46
99442 Telephone medical discussion with physician, 11-20 minutes	32	20	$124.91	$71.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$291.00	$162.72
99441 Telephone medical discussion with physician, 5-10 minutes	19	12	$76.00	$44.34
G0008 Administration of influenza virus vaccine	11	11	$36.00	$16.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	74	50	$71.00	$38.54
99238 Hospital discharge day management, 30 minutes or less	57	57	$127.00	$71.06
99213 Established patient office or other outpatient visit, typically 15 minutes	36	31	$126.00	$71.10
99217 Hospital observation care on day of discharge	31	31	$128.00	$69.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$245.00	$134.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$187.00	$104.28
99218 Hospital observation care typically 30 minutes	22	22	$119.00	$97.61
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$184.20	$99.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$76.00	$41.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99238 Hospital discharge day management, 30 minutes or less	138	134	$127.00	$69.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	94	76	$128.00	$70.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	90	69	$71.00	$38.06
99217 Hospital observation care on day of discharge	85	84	$128.00	$70.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	55	$245.00	$130.35
99218 Hospital observation care typically 30 minutes	36	35	$119.00	$98.12
99219 Hospital observation care, typically 50 minutes	32	32	$198.00	$133.35
99220 Hospital observation care, typically 70 minutes	23	23	$278.00	$182.44
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$181.00	$99.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$359.00	$188.01
99239 Hospital discharge day management, more than 30 minutes	11	11	$187.00	$105.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99217 Hospital observation care on day of discharge	65	65	$128.00	$70.76
99238 Hospital discharge day management, 30 minutes or less	54	53	$127.00	$70.40
99218 Hospital observation care typically 30 minutes	49	49	$119.00	$95.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	28	$128.00	$68.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	18	$184.00	$101.82
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$181.00	$95.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$359.00	$197.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$71.00	$38.36
99219 Hospital observation care, typically 50 minutes	15	15	$198.00	$132.53
99220 Hospital observation care, typically 70 minutes	11	11	$278.00	$181.19

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 34.011912

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Ohiohealth Corporation

24 W Green Dr, Athens, OH 457012974

Phone: 7405927040

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Lorena Donofrio , DO

Family Medicine

NPI 1174731186

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location July 11, 2019

Registered at 246 PARKS HALL, ATHENS, OH 457011359 (Tel: 7405927020)

📍

Updated Business Mailing Address July 11, 2019

Registered at 5450 FRANTZ RD STE 360, DUBLIN, OH 430164141 (Tel: 6145446155)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2019

Internal Medicine (License #34.011912 in OH)

✅

NPI Profile Active February 25, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 25, 2015

Registered at 46 BARRA ROAD, SUITE 201, BIDDEFORD, ME 04005 (Tel: 2072823349)

📍

Updated Business Mailing Address February 25, 2015

Registered at 1 MEDICAL CENTER DRIVE, BIDDEFORD, ME 040059400 (Tel: 2072829080)

👤

Provider Name / Credentials Updated February 25, 2015

Recorded as ANURAG GUPTA, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2015

Internal Medicine (License #DO2481 in ME)

🟢

Initial NPI Registration & Enumeration April 24, 2009

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: 1639313331

Entity Type:

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

Enumeration Date: April 24, 2009

Last Update: January 25, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5450 Frantz Rd Ste 360

Dublin, OH 430164141

Phone: 6145446155

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.