Active NPI 1366559114 Individual Practitioner Male Practitioner

Dr. Gaurav Gupta , MD

Ophthalmology • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gaurav Gupta, MD is a certified Ophthalmology practicing in Providence, RI. With approximately 24 years of clinical experience since graduating from University Of Massachusetts Medical School in 2002, Dr. Gupta delivers high-quality medical care to the local community at 150 E MANNING ST.

Dr. Gupta is affiliated with Refocus Eye Health Of Ri, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, imaging of retina, injection, aflibercept, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

150 E Manning St

Providence, RI 029065109

Telephone 4012722020

Fax 4014215979

Associated Practice Facility / Clinic

🏢 Ophthalmology Inc Facility NPI 1366429102

Medicare Profile & Education

Medical School

University Of Massachusetts Medical School

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Providence, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -5.9 yrs vs City Avg

City Avg: 29.9 Yrs

State Avg: 33.9 Yrs

Regional Practice Density

34 Specialists

Practicing in Providence, RI (92 Statewide)

Telehealth Adoption Rate

8.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gupta (24 Years) 24 Yrs

Providence Specialty Average (29.9 Years) 29.9 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
J2777 Injection, faricimab-svoa, 0.1 mg	3,060	14	$86.91	$34.21
92134 Imaging of retina	2,011	793	$103.76	$40.23
J0178 Injection, aflibercept, 1 mg	1,892	186	$2102.80	$815.24
67028 Injection of drug into eye	1,169	227	$295.38	$114.54
92014 Established patient complete exam of visual system	939	625	$323.66	$126.86
J0177 Injection, aflibercept hd, 1 mg	488	17	$487.08	$298.67
J9035 Injection, bevacizumab, 10 mg	74	23	$183.49	$71.46
92004 New patient complete exam of visual system	70	70	$383.45	$149.35
76512 Ultrasound of eye disease, growth, or structure	69	41	$123.52	$50.66
92250 Photography of the retina	58	58	$94.92	$37.40
92235 Exam of retinal blood vessels using a special camera after injection of a dye	55	55	$419.03	$164.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$327.93	$129.28
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$233.13	$91.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$145.09	$57.31
92083 Exam of visual field with extended testing	14	11	$162.99	$64.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,206	181	$2212.15	$859.79
92134 Imaging of retina	2,118	779	$105.30	$41.01
67028 Injection of drug into eye	1,227	221	$305.84	$119.48
92014 Established patient complete exam of visual system	991	627	$329.26	$129.64
92235 Exam of retinal blood vessels using a special camera after injection of a dye	113	110	$361.45	$141.15
J9035 Injection, bevacizumab, 10 mg	87	24	$180.55	$71.12
92004 New patient complete exam of visual system	83	83	$390.39	$154.09
92250 Photography of the retina	68	64	$97.25	$38.18
76512 Ultrasound of eye disease, growth, or structure	32	27	$125.64	$52.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	15	$330.67	$130.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$146.45	$58.13
92083 Exam of visual field with extended testing	14	13	$163.16	$64.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,154	185	$2278.77	$896.96
92134 Imaging of retina	2,079	794	$106.98	$42.01
67028 Injection of drug into eye	1,226	232	$309.84	$121.83
92014 Established patient complete exam of visual system	909	614	$333.56	$131.73
J2778 Injection, ranibizumab, 0.1 mg	445	14	$701.92	$278.10
J9035 Injection, bevacizumab, 10 mg	109	32	$172.50	$68.36
92004 New patient complete exam of visual system	73	73	$395.45	$156.73
76512 Ultrasound of eye disease, growth, or structure	50	31	$126.74	$53.16
92235 Exam of retinal blood vessels using a special camera after injection of a dye	43	43	$334.51	$132.71
99213 Established patient office or other outpatient visit, typically 15 minutes	38	34	$235.77	$94.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$335.09	$132.48
92250 Photography of the retina	15	15	$98.06	$38.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$148.63	$59.04
67108 Repair of detached retina and drainage of eye fluid between lens and retina	12	11	$3077.38	$1176.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,416	201	$1149.96	$915.81
92134 Imaging of retina	2,176	755	$109.69	$42.81
67028 Injection of drug into eye	1,311	240	$302.39	$125.28
92014 Established patient complete exam of visual system	942	583	$339.16	$132.82
J2778 Injection, ranibizumab, 0.1 mg	585	15	$470.44	$315.29
J9035 Injection, bevacizumab, 10 mg	108	27	$101.15	$71.56
92004 New patient complete exam of visual system	101	101	$399.55	$158.75
92235 Exam of retinal blood vessels using a special camera after injection of a dye	93	92	$256.02	$123.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	36	$291.25	$129.89
99213 Established patient office or other outpatient visit, typically 15 minutes	38	35	$200.01	$95.49
76512 Ultrasound of eye disease, growth, or structure	33	23	$161.40	$51.86
92250 Photography of the retina	18	17	$131.89	$41.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0178 Injection, aflibercept, 1 mg	2,426	186	$1050.00	$927.26
92134 Imaging of retina	2,294	717	$109.97	$42.62
67028 Injection of drug into eye	1,394	237	$299.63	$111.89
92014 Established patient complete exam of visual system	803	493	$340.00	$131.80
J2778 Injection, ranibizumab, 0.1 mg	675	16	$440.00	$335.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	179	$290.00	$114.08
J9035 Injection, bevacizumab, 10 mg	159	28	$90.00	$78.50
92235 Exam of retinal blood vessels using a special camera after injection of a dye	135	128	$250.00	$107.63
92004 New patient complete exam of visual system	84	84	$400.00	$157.13
99213 Established patient office or other outpatient visit, typically 15 minutes	61	59	$200.00	$78.57
76512 Ultrasound of eye disease, growth, or structure	60	37	$178.00	$58.43
67108 Repair of detached retina and drainage of eye fluid between lens and retina	13	13	$3190.00	$1260.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,465	807	$106.72	$42.62
J0178 Injection, aflibercept, 1 mg	2,358	186	$1050.00	$940.29
67028 Injection of drug into eye	1,429	244	$292.45	$112.75
92014 Established patient complete exam of visual system	842	555	$327.86	$131.89
J2778 Injection, ranibizumab, 0.1 mg	630	17	$440.00	$353.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	345	238	$279.74	$112.62
J9035 Injection, bevacizumab, 10 mg	244	55	$88.62	$79.58
92235 Exam of retinal blood vessels using a special camera after injection of a dye	150	148	$240.67	$95.59
92004 New patient complete exam of visual system	122	122	$386.31	$158.20
76512 Ultrasound of eye disease, growth, or structure	71	50	$167.92	$64.25
99213 Established patient office or other outpatient visit, typically 15 minutes	35	33	$195.03	$77.23
92250 Photography of the retina	19	19	$138.42	$53.12
67108 Repair of detached retina and drainage of eye fluid between lens and retina	16	16	$3190.00	$1260.90
67145 Photocoagulation treatment to prevent detachment of retina	13	12	$1410.00	$556.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,441	793	$71.00	$43.17
J0178 Injection, aflibercept, 1 mg	2,370	165	$1050.00	$951.35
67028 Injection of drug into eye	1,509	255	$175.33	$112.17
92014 Established patient complete exam of visual system	823	551	$194.00	$130.71
J2778 Injection, ranibizumab, 0.1 mg	565	15	$440.00	$370.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	397	287	$168.00	$111.78
J9035 Injection, bevacizumab, 10 mg	331	75	$78.00	$76.23
92235 Exam of retinal blood vessels using a special camera after injection of a dye	161	159	$174.00	$90.31
92004 New patient complete exam of visual system	77	77	$233.00	$157.96
76512 Ultrasound of eye disease, growth, or structure	63	39	$147.00	$82.23
99213 Established patient office or other outpatient visit, typically 15 minutes	33	29	$113.00	$75.86
67108 Repair of detached retina and drainage of eye fluid between lens and retina	18	18	$2512.00	$1231.03
92083 Exam of visual field with extended testing	13	13	$102.00	$66.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,264	769	$71.00	$41.60
J0178 Injection, aflibercept, 1 mg	1,608	130	$1050.00	$962.55
67028 Injection of drug into eye	1,281	229	$175.01	$109.21
92014 Established patient complete exam of visual system	837	590	$194.00	$125.61
J2778 Injection, ranibizumab, 0.1 mg	540	13	$440.00	$372.60
J9035 Injection, bevacizumab, 10 mg	465	96	$78.00	$73.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	371	257	$168.00	$109.17
92235 Exam of retinal blood vessels using a special camera after injection of a dye	260	170	$142.55	$59.59
92004 New patient complete exam of visual system	102	102	$233.00	$152.43
76512 Ultrasound of eye disease, growth, or structure	53	42	$145.61	$93.94
92225 Examination of eye by ophthalmoscope with retinal drawing	43	34	$63.49	$40.26
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$113.00	$74.11
67040 Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser	13	12	$1634.00	$1062.73
67108 Repair of detached retina and drainage of eye fluid between lens and retina	13	12	$2512.00	$1223.22
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	12	12	$1806.00	$1146.66
92012 Established patient problem focused exam of visual system	11	11	$134.00	$87.27

Medical Specialties & State Licenses

CMS Verified: 2020-10-23

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License RI MD12949

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

Commercial Insurance / Payer ID Npi Number

1366559114 (RI)

Commercial Insurance / Payer ID Ri Licence Number

MD12949 (RI)

Hospital & Practice Group Affiliations

Refocus Eye Health Of Ri, Llc

150 E Manning St, Providence, RI 029065109

Phone: 4012722020

Refocus Eye Health Of Ri, Llc

235 Hanover St, Fall River, MA 027205299

Phone: 5086790150

Practice Associates & Co-Workers

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

21 Associated Practitioners

Dr. Durga Larkin , MD

Ophthalmology

NPI 1063466324

Doctor of Medicine (M.D.)

Dr. Paul Zerbinopoulos , OD

Optometrist

NPI 1154375418

Doctor of Optometry

Dr. John Donahue , MD

Ophthalmology

NPI 1164409918

Doctor of Medicine (M.D.)

Dr. Sarah Anis , MD

Ophthalmology

NPI 1225276678

Doctor of Medicine (M.D.)

Dr. Joseph Dowling , MD

Ophthalmology

NPI 1255317020

Doctor of Medicine (M.D.)

Dr. Michael Saccucci , MD

Optometrist

NPI 1265486526

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2020

Ophthalmology (License #MD12949 in RI)

✅

NPI Profile Active May 03, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 03, 2012

Registered at 150 E MANNING ST, PROVIDENCE, RI 029065109 (Tel: 4012722020)

📍

Updated Business Mailing Address May 03, 2012

Registered at 150 E MANNING ST, PROVIDENCE, RI 029065109 (Tel: 4012722020)

👤

Provider Name / Credentials Updated May 03, 2012

Recorded as GAURAV GUPTA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2012

Ophthalmology (License #036-115497 in IL)

🟢

Initial NPI Registration & Enumeration August 25, 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: 1366559114

Entity Type:

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

Enumeration Date: August 25, 2006

Last Update: October 23, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

150 E Manning St

Providence, RI 029065109

Phone: 4012722020

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.