Priya Gupta, MD
NPI 1295228278 · Ophthalmology Physician · Boston, MA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priya Gupta, MD is a Ophthalmology Physician provider in Boston, MA (NPI 1295228278).
Provider details
- NPI number
- 1295228278
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 291668 (MA)
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
8 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
504 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) |
|---|---|---|
| Imaging of Retina92134 | 127 | $38 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 101 | $120 |
| 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 | 76 | $16 |
| Injection of Drug Into Eye67028 | 53 | $120 |
| Microfluid Analysis of Tears83861 | 46 | $22 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 111 | 91 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 43 | 29 |
| Ketorolac Tromethamine | 35 | 25 |
| Erythromycin Basebrand: Erythromycin | 31 | 30 |
| Tobramycin | 28 | 19 |
| Neomycin/Polymyxin B/Dexamethabrand: Neomycin-Polymyxin-Dexameth | 27 | 20 |
| Latanoprost | 11 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,017 across 20 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
- 2018-06-13
- Last updated
- 2022-06-29
- Certified
- 2022-06-29
Frequently asked questions
- What is Priya Gupta's NPI number?
- Priya Gupta's National Provider Identifier (NPI) is 1295228278, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priya Gupta's specialty?
- Priya Gupta is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Priya Gupta located?
- Priya Gupta's practice location on file with NPPES is 243 Charles St, Boston, MA 02114-3096.
- What is Priya Gupta's phone number?
- The practice phone number listed in the NPPES registry for Priya Gupta is (617) 573-6917.
- Does Priya Gupta accept Medicare?
- Priya Gupta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priya Gupta's NPI active?
- Yes — Priya Gupta's NPI (1295228278) is active in the NPPES registry as of the last update on 2022-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.