Pavan Gupta, MD
NPI 1861519563 · Cardiovascular Disease Physician · O Fallon, IL
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pavan Gupta, MD is a Cardiovascular Disease Physician provider in O Fallon, IL (NPI 1861519563).
Provider details
- NPI number
- 1861519563
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301083827 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
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
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
4,058 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) |
|---|---|---|
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 1,198 | $8 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 752 | $130 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 453 | $69 |
| Evaluation of Single, Dual, Multiple Lead Or Leadless Pacemaker System, Remote Up to 90 Days93294 | 191 | $30 |
| Evaluation of Single, Dual, Multiple Lead Or Leadless Pacemaker System Or Implantable Defibrillator System, Remote Up to 90 Days93296 | 188 | $20 |
| Blood Test, Clotting Time |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 61 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 665 | 200 |
| Metoprolol Succinate | 562 | 167 |
| Amlodipine Besylate | 481 | 160 |
| Apixabanbrand: Eliquis | 463 | 115 |
| Spironolactone | 461 | 148 |
| Furosemide | 428 | 142 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$32 across 1 record (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
- 2007-03-26
- Last updated
- 2021-12-21
- Certified
- 2021-12-21
Frequently asked questions
- What is Pavan Gupta's NPI number?
- Pavan Gupta's National Provider Identifier (NPI) is 1861519563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pavan Gupta's specialty?
- Pavan Gupta is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Pavan Gupta located?
- Pavan Gupta's practice location on file with NPPES is Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269-1282.
- What is Pavan Gupta's phone number?
- The practice phone number listed in the NPPES registry for Pavan Gupta is (618) 233-6044.
- Does Pavan Gupta accept Medicare?
- Pavan Gupta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pavan Gupta's NPI active?
- Yes — Pavan Gupta's NPI (1861519563) is active in the NPPES registry as of the last update on 2021-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.