Active NPI 1982641049 Individual Practitioner Male Practitioner

Dr. Pranay Gupta , MD

Ophthalmology • Colonial Heights, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pranay Gupta, MD is a certified Ophthalmology practicing in Colonial Heights, VA. With approximately 29 years of clinical experience since graduating from University Of Maryland School Of Medicine in 1997, Dr. Gupta delivers high-quality medical care to the local community at 3660 BOULEVARD.

Dr. Gupta accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3660 Boulevard

Colonial Heights, VA 238341345

Telephone 8042432020

Fax 8047541428

Associated Practice Facility / Clinic

🏢 Discover Home Care, Llc Facility NPI 1548363823

Medicare Profile & Education

Medical School

University Of Maryland School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Colonial Heights, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs Matches City Avg

City Avg: 29.0 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Colonial Heights, VA (619 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gupta (29 Years) 29 Yrs

Colonial Heights Specialty Average (29.0 Years) 29.0 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
92014 Established patient complete exam of visual system	287	249	$318.16	$117.09
92012 Established patient problem focused exam of visual system	264	130	$223.15	$81.50
92250 Photography of the retina	259	241	$113.76	$34.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$414.20	$154.21
66984 Removal of cataract with insertion of lens	42	31	$1383.16	$483.27
92083 Exam of visual field with extended testing	40	38	$159.40	$58.86
66821 Removal of recurring cataract in lens capsule using a laser	40	27	$841.18	$284.52
76519 Ultrasound of eye for determination of lens power	40	40	$212.00	$61.01
92020 Examination of cornea and iris using lens device and slit lamp	39	37	$69.95	$25.50
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	38	38	$412.70	$117.22
95930 Measurement of nerve conduction using visual stimulation testing with report	38	38	$168.23	$63.05
92283 Extended color vision examination	32	31	$133.20	$50.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	328	262	$318.16	$123.92
92012 Established patient problem focused exam of visual system	279	122	$223.15	$87.94
92250 Photography of the retina	204	189	$113.76	$36.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$414.20	$161.65
95930 Measurement of nerve conduction using visual stimulation testing with report	51	50	$168.23	$65.56
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	50	49	$412.70	$125.06
76519 Ultrasound of eye for determination of lens power	45	44	$212.00	$66.44
92083 Exam of visual field with extended testing	42	41	$159.40	$61.61
92020 Examination of cornea and iris using lens device and slit lamp	35	34	$69.95	$27.22
66984 Removal of cataract with insertion of lens	33	27	$1383.16	$527.71
92283 Extended color vision examination	24	24	$133.20	$53.28
66982 Complex removal of cataract with insertion of prosthetic lens	18	15	$1897.83	$722.35
92285 Photography of content of eyes	16	15	$55.33	$22.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	301	238	$318.16	$126.63
92012 Established patient problem focused exam of visual system	248	127	$223.15	$88.71
92250 Photography of the retina	121	112	$113.76	$37.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$414.20	$167.14
66984 Removal of cataract with insertion of lens	42	35	$1383.16	$528.58
76519 Ultrasound of eye for determination of lens power	40	39	$212.00	$65.79
92083 Exam of visual field with extended testing	40	40	$159.40	$62.86
66821 Removal of recurring cataract in lens capsule using a laser	39	28	$841.18	$308.58
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	34	34	$405.51	$126.86
95930 Measurement of nerve conduction using visual stimulation testing with report	34	34	$168.23	$66.02
92020 Examination of cornea and iris using lens device and slit lamp	30	30	$69.95	$28.01
92283 Extended color vision examination	18	18	$133.20	$54.29
66982 Complex removal of cataract with insertion of prosthetic lens	14	13	$1897.83	$735.45
76514 Ultrasound scan of cornea to determine thickness	11	11	$17.64	$11.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	333	264	$329.15	$127.97
92012 Established patient problem focused exam of visual system	319	144	$239.30	$89.81
92250 Photography of the retina	163	155	$125.08	$39.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	97	$433.74	$168.99
76519 Ultrasound of eye for determination of lens power	61	56	$212.00	$67.80
66984 Removal of cataract with insertion of lens	57	42	$1426.74	$515.62
92083 Exam of visual field with extended testing	44	42	$160.17	$62.98
92020 Examination of cornea and iris using lens device and slit lamp	36	34	$69.35	$27.59
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	34	33	$373.23	$127.96
95930 Measurement of nerve conduction using visual stimulation testing with report	34	33	$213.68	$68.40
92283 Extended color vision examination	33	32	$141.64	$55.66
66821 Removal of recurring cataract in lens capsule using a laser	29	21	$838.25	$316.34
92285 Photography of content of eyes	25	24	$58.70	$23.38
66982 Complex removal of cataract with insertion of prosthetic lens	19	17	$1913.80	$692.34
92134 Imaging of retina	16	16	$103.01	$40.31
92025 Ct scan of cornea	11	11	$94.66	$34.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	344	283	$371.84	$127.11
92012 Established patient problem focused exam of visual system	257	137	$309.00	$89.52
92250 Photography of the retina	199	186	$165.00	$44.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$494.00	$166.30
92285 Photography of content of eyes	57	53	$63.00	$21.97
92283 Extended color vision examination	56	56	$168.00	$53.45
76519 Ultrasound of eye for determination of lens power	47	46	$212.00	$67.49
66984 Removal of cataract with insertion of lens	47	38	$1609.00	$528.84
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	46	46	$221.00	$129.97
95930 Measurement of nerve conduction using visual stimulation testing with report	46	46	$389.00	$66.69
92083 Exam of visual field with extended testing	44	43	$162.00	$63.98
66821 Removal of recurring cataract in lens capsule using a laser	39	27	$827.00	$316.23
92020 Examination of cornea and iris using lens device and slit lamp	38	37	$68.00	$28.07
93890 Ultrasound of within the brain blood flow following medication	19	19	$712.00	$281.15
93886 Complete ultrasound of within the brain blood flow	19	19	$691.00	$276.77
93892 Ultrasound of within the brain blood flow for blood clots	19	19	$824.00	$172.96
66982 Complex removal of cataract with insertion of prosthetic lens	17	15	$1999.00	$726.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	449	339	$360.54	$126.72
92012 Established patient problem focused exam of visual system	387	174	$252.63	$88.37
92250 Photography of the retina	135	125	$165.00	$50.56
83861 Microfluid analysis of tears	126	62	$40.00	$22.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$494.00	$163.72
92283 Extended color vision examination	85	84	$148.24	$53.88
92285 Photography of content of eyes	76	74	$60.11	$20.79
92226 Examination of eye by ophthalmoscope with retinal drawing	71	59	$63.00	$26.00
66984 Removal of cataract with insertion of lens	62	47	$1609.00	$639.53
92083 Exam of visual field with extended testing	60	58	$162.00	$63.95
95930 Measurement of nerve conduction using visual stimulation testing with report	56	56	$372.75	$68.86
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	54	54	$221.00	$134.15
76519 Ultrasound of eye for determination of lens power	51	50	$212.00	$66.46
92020 Examination of cornea and iris using lens device and slit lamp	51	50	$68.00	$27.80
92133 Imaging of optic nerve	28	28	$94.00	$37.05
66821 Removal of recurring cataract in lens capsule using a laser	27	19	$827.00	$314.47
92134 Imaging of retina	20	20	$103.00	$40.96
93886 Complete ultrasound of within the brain blood flow	19	19	$691.00	$269.04
93890 Ultrasound of within the brain blood flow following medication	19	19	$712.00	$274.26
93892 Ultrasound of within the brain blood flow for blood clots	19	19	$824.00	$171.34
92225 Examination of eye by ophthalmoscope with retinal drawing	18	17	$68.00	$24.71
66982 Complex removal of cataract with insertion of prosthetic lens	14	11	$1999.00	$790.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	445	349	$310.00	$125.06
92012 Established patient problem focused exam of visual system	362	187	$214.00	$87.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	139	139	$436.68	$163.28
92250 Photography of the retina	106	94	$165.00	$55.59
92285 Photography of content of eyes	87	85	$52.00	$20.25
92083 Exam of visual field with extended testing	74	67	$162.00	$62.71
92226 Examination of eye by ophthalmoscope with retinal drawing	74	52	$63.00	$24.97
66984 Removal of cataract with insertion of lens	68	46	$1609.00	$632.30
92283 Extended color vision examination	63	62	$140.00	$54.61
95930 Measurement of nerve conduction using visual stimulation testing with report	62	62	$324.00	$69.28
92275 Recording of retinal electrical responses to external stimuli	62	62	$373.00	$148.97
92133 Imaging of optic nerve	59	59	$94.00	$37.25
92020 Examination of cornea and iris using lens device and slit lamp	57	51	$68.00	$26.76
76519 Ultrasound of eye for determination of lens power	54	54	$212.00	$74.11
92134 Imaging of retina	48	42	$103.00	$41.10
92225 Examination of eye by ophthalmoscope with retinal drawing	41	29	$68.00	$27.07
93892 Ultrasound of within the brain blood flow for blood clots	26	25	$783.08	$154.93
93886 Complete ultrasound of within the brain blood flow	26	25	$658.96	$145.59
93890 Ultrasound of within the brain blood flow following medication	26	25	$677.27	$247.96
66821 Removal of recurring cataract in lens capsule using a laser	22	16	$827.00	$310.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	395	302	$273.77	$121.91
83516 Analysis of substance using immunoassay technique	293	134	$47.95	$15.50
83861 Microfluid analysis of tears	222	132	$60.95	$22.01
92012 Established patient problem focused exam of visual system	214	136	$198.75	$83.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$368.50	$160.20
92250 Photography of the retina	80	69	$162.00	$64.77
92226 Examination of eye by ophthalmoscope with retinal drawing	79	38	$69.56	$24.48
92133 Imaging of optic nerve	69	67	$103.43	$37.01
92275 Recording of retinal electrical responses to external stimuli	58	58	$360.41	$146.72
95930 Measurement of nerve conduction using visual stimulation testing with report	57	57	$319.79	$127.39
92083 Exam of visual field with extended testing	53	52	$155.02	$63.28
92020 Examination of cornea and iris using lens device and slit lamp	47	46	$69.34	$26.61
76519 Ultrasound of eye for determination of lens power	45	34	$181.69	$70.40
92285 Photography of content of eyes	45	44	$70.13	$20.27
66982 Complex removal of cataract with insertion of prosthetic lens	44	33	$1999.20	$786.61
92134 Imaging of retina	27	23	$104.63	$40.57
93892 Ultrasound of within the brain blood flow for blood clots	20	20	$718.00	$168.89
93890 Ultrasound of within the brain blood flow following medication	20	20	$634.00	$267.77
66821 Removal of recurring cataract in lens capsule using a laser	20	12	$803.90	$307.21
93886 Complete ultrasound of within the brain blood flow	20	20	$618.25	$263.49

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License VA 0101230970

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

6304559 (VA)

Practice Associates & Co-Workers

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

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Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 04, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 04, 2008

Registered at 3660 BOULEVARD, COLONIAL HEIGHTS, VA 238341345 (Tel: 8042432020)

📍

Updated Business Mailing Address April 04, 2008

Registered at 809 CLUB RIDGE CT, CHESTER, VA 238362745 (Tel: 8042432020)

👤

Provider Name / Credentials Updated April 04, 2008

Recorded as PRANAY GUPTA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2008

Ophthalmology (License #0101230970 in VA)

🟢

Initial NPI Registration & Enumeration May 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1982641049

Entity Type:

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

Enumeration Date: May 31, 2006

Last Update: April 04, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

809 Club Ridge Ct

Chester, VA 238362745

Phone: 8042432020

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.