Ajay K. Gupta, M.D.
Ophthalmology Physician · Sheboygan, WI
Ajay K. Gupta, M.D. is an ophthalmology physician with a practice address in Sheboygan, Wisconsin, and NPI 1316049265, issued on Sep 2, 2006. Check the license (Wisconsin 71682-20, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Ajay K. Gupta
- Credential
- M.D.
- Primary taxonomy
- Ophthalmology Physician 207W00000X
- License numbers
- 71682-20 WI
OH 35 084276 OH
Self-reported in NPPES; status is on the state search - Practice location
- 3113 Saemann Ave, Sheboygan, WI 53081
- Phone
- (920) 496-4700
- Enumerated
- Sep 2, 2006
- Record last updated
- Apr 22, 2024
- Medicaid IDs
- 2551662 OH
100095643 WI - Medicare enrollment
- Enrolled (PECOS I20220609002699); accepts Medicare assignment
- Medical or professional school
- University Of Cincinnati College Of Medicine, 1999
- Entity
- Type 1 · individual
8 nearest ophthalmology physician records → All 441 in Wisconsin → Look up another NPI →
Also registered at 3113 Saemann Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Amanda Brown, PTPhysical Therapist1710415427
- Kaitlin Downey, OTR, CLTOccupational Therapist1881359834
- Emily Fisher, AU.D.Audiologist1467004671
- Jessie Harder, OTROccupational Therapist1992415475
Verify Ajay K. Gupta in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 71682-20Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
81% fewer Medicare Part D claims than the average ophthalmology physician in 2024
287 Medicare Part D claims for 115 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 40% of claims.
Most prescribed
- Prednisolone Acetate60 claims
- Gatifloxacin39 claims
- Latanoprost39 claims
- Brimonidine Tartrate22 claims
- Timolol Maleate22 claims
- Neomycin-Polymyxin-Dexameth14 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 64.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Rockford Eye And Laser Center LtdLoves Park, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ajay K. Gupta among 441 ophthalmology physician records in Wisconsin
Ajay K. Gupta, M.D. is one of 441 ophthalmology physician records with a practice address in Wisconsin. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 15% of them.
- NPI issued2006 · 15% of these records are older, 38% newer
- In a Medicare fileYes · 71% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated1999 · median 2005 among the 259 with a school on file
- Record last updated2024 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Ophthalmology Physician providers in Wisconsin
There are 441 ophthalmology physician records in Wisconsin.
All 441 in Wisconsin → Every provider in Sheboygan → Ophthalmology Physician nationwide →
The 8 ophthalmology physician records with the nearest ZIP codes
- Kathryn Green, MDSheboygan, WI 530811134129497
- Christopher LarsonSheboygan, WI 530811750358693
- Todd Larson, D.O.Sheboygan, WI 530811609184365
- Jean Schott-Wagner, M.D.Sheboygan, WI 530811407942410
- Kenneth Taylor, MDSheboygan, WI 530811225457534
- Abby Vercio, M.D.Sheboygan, WI 530811316394596
- Larry Zweben, MDSheboygan, WI 530811215044128
- Lisa Bennett, MDMequon, WI 530921619354743
Common questions
What is Ajay K. Gupta, M.D.'s NPI number?
Ajay K. Gupta, M.D.'s National Provider Identifier (NPI) is 1316049265, issued on Sep 2, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Ajay K. Gupta, M.D. located?
The NPPES record lists a practice address at 3113 Saemann Ave, Sheboygan, WI, 53081. Phone: (920) 496-4700. Providers update this record themselves, so call before visiting.
How can I verify Ajay K. Gupta, M.D.'s license?
NPPES lists Wisconsin license number 71682-20, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Ajay K. Gupta, M.D. prescribe under Medicare Part D?
In 2024, Ajay K. Gupta, M.D. had 287 Medicare Part D claims for 115 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.
What is Ajay K. Gupta, M.D.'s MIPS final score?
The 2023 MIPS final score is 64.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.