Prashant Gupta, M.D.
NPI 1043552862 · Family Medicine Physician · Burien, WA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prashant Gupta, M.D. is a Family Medicine Physician provider in Burien, WA (NPI 1043552862).
Provider details
- NPI number
- 1043552862
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036138919 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
318 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 72 | $137 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 48 | $100 |
| Respiratory Infectious Agent Detection By Rna for Severe Acute Respiratory Syndrome Coronavirus 2 (covid 19), Influenza A, Influenza B, and Respiratory Syncytial Virus, Upper Respiratory Specimen, Each Reported As Detected Or Not Detected0241U | 37 | $137 |
| X-Ray of Chest, 2 Views71046 | 36 | $27 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 34 | $179 |
| Automated Urinalysis Test |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 82 | 82 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 50 | 50 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 50 | 48 |
| Doxycycline Hyclate | 41 | 41 |
| Mupirocin | 30 | 29 |
| Azithromycin | 26 | 26 |
| Prednisone | 25 | 23 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$648 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-03-19
- Last updated
- 2019-07-10
Frequently asked questions
- What is Prashant Gupta's NPI number?
- Prashant Gupta's National Provider Identifier (NPI) is 1043552862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prashant Gupta's specialty?
- Prashant Gupta is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prashant Gupta located?
- Prashant Gupta's practice location on file with NPPES is 16045 1st Ave S # F1, Burien, WA 98148.
- What is Prashant Gupta's phone number?
- The practice phone number listed in the NPPES registry for Prashant Gupta is (206) 965-4180.
- Does Prashant Gupta accept Medicare?
- Prashant Gupta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prashant Gupta's NPI active?
- Yes — Prashant Gupta's NPI (1043552862) is active in the NPPES registry as of the last update on 2019-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.