Praveen Gupta, MD
NPI 1093801060 · Family Medicine Physician · Rockville, MD
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Praveen Gupta, MD is a Family Medicine Physician provider in Rockville, MD (NPI 1093801060).
Provider details
- NPI number
- 1093801060
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- D0037532 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 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
2,838 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) |
|---|---|---|
| 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'SG2211 | 436 | $18 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 401 | $112 |
| Alcohol And/Or Substance (other Than Tobacco) Misuse Structured Assessment (e.g., Audit, Dast), and Brief Intervention 15 to 30 MinutesG0396 | 312 | $37 |
| Advance Care Planning, First 30 Minutes99497 | 291 | $89 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 290 | $143 |
| Administration of a Standardized, Evidence-Based Social Determinants of Health Risk Assessment Tool, 5-15 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 65 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 238 | 67 |
| Atorvastatin Calcium | 224 | 67 |
| Metformin Hcl | 146 | 46 |
| Lisinopril | 123 | 42 |
| Levothyroxine Sodium | 114 | 31 |
| Losartan Potassium | 113 | 30 |
| Hydrochlorothiazide |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$473 across 22 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
- 2006-10-05
- Last updated
- 2010-09-30
Frequently asked questions
- What is Praveen Gupta's NPI number?
- Praveen Gupta's National Provider Identifier (NPI) is 1093801060, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Praveen Gupta's specialty?
- Praveen Gupta is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Praveen Gupta located?
- Praveen Gupta's practice location on file with NPPES is 50 West Edmonston Drive, Rockville, MD 20852.
- What is Praveen Gupta's phone number?
- The practice phone number listed in the NPPES registry for Praveen Gupta is (301) 762-0788.
- Does Praveen Gupta accept Medicare?
- Praveen Gupta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Praveen Gupta's NPI active?
- Yes — Praveen Gupta's NPI (1093801060) is active in the NPPES registry as of the last update on 2010-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.