Sumeet Gupta, M.D.
NPI 1871971895 · Ophthalmology Physician · Springfield, VA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumeet Gupta, M.D. is a Ophthalmology Physician provider in Springfield, VA (NPI 1871971895).
Provider details
- NPI number
- 1871971895
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0101274578 (VA)
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
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
2,870 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 | 575 | $132 |
| Established Patient Complete Exam of Visual System92014 | 463 | $132 |
| Exam of Visual Field With Extended Testing92083 | 424 | $66 |
| Imaging of Optic Nerve92133 | 385 | $36 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 165 | $93 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 140 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 335 | 112 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 254 | 88 |
| Prednisolone Acetate | 107 | 70 |
| Brimonidine Tartrate | 98 | 34 |
| Moxifloxacin Hclbrand: Moxifloxacin | 88 | 56 |
| Ketorolac Tromethamine | 88 | 56 |
| Timolol Maleate | 77 | 29 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$174 across 9 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
Additional practice locations (1)
- 4565 Daisy Reid Ave Ste 310Woodbridge, VA 22192-5672Phone: (703) 451-6111Fax: (703) 451-6247
Registry dates
- Enumerated
- 2015-05-11
- Last updated
- 2026-01-28
- Certified
- 2026-01-28
Frequently asked questions
- What is Sumeet Gupta's NPI number?
- Sumeet Gupta's National Provider Identifier (NPI) is 1871971895, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumeet Gupta's specialty?
- Sumeet Gupta is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Sumeet Gupta located?
- Sumeet Gupta's practice location on file with NPPES is 8136 Old Keene Mill Rd Ste B300, Springfield, VA 22152-1856.
- What is Sumeet Gupta's phone number?
- The practice phone number listed in the NPPES registry for Sumeet Gupta is (703) 451-6111.
- Does Sumeet Gupta accept Medicare?
- Sumeet Gupta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumeet Gupta's NPI active?
- Yes — Sumeet Gupta's NPI (1871971895) is active in the NPPES registry as of the last update on 2026-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.