2026 NPPES data Pediatric Ophthalmology and Strabismus Specialist Physician NPI 1073509592 MD
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ASHIMA GUPTA, MD

Pediatric Ophthalmology and Strabismus Specialist Physician in LOUISVILLE, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
147
Medicare Part D claims · 54 beneficiaries · Pediatric Ophthalmology and Strabismus Specialist Physician avg: 266
Generic prescribing
54%
generic claims · 46% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.4655/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$303.14
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ASHIMA GUPTA, MD reported a CMS MIPS final score of 77.4655/100 — below the 83.1 national average — and filed 147 Medicare Part D claims in 2023.

77.4655/100
MIPS score · -6 vs avg
147
Part D claims, 2023
54%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ASHIMA GUPTA, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

77 24th percentile higher than 24% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ASHIMA GUPTA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ASHIMA GUPTA, MD?

Below national average

NPI registry status

Active

Issued 09/20/2005

NPI 1073509592

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist Physician

Rare

242 US NPIs in this specialty

Medicare Part D claims

147 45% vs specialty avg

2023 prescription claims

Specialty avg: 266

MIPS final score

77.4655/100 5.6344999999999885% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Pediatric Ophthalmology and Strabismus Specialist Physician compares to other specialties among Kentucky providers

Kentucky providers

Pediatric Ophthalmology and Strabismus Specialist Physician share within Kentucky

1. Pediatric Ophthalmology and Strabismus Specialist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Ophthalmology and Strabismus Specialist Physician share within Kentucky

Medicare quality performance — MIPS

ASHIMA GUPTA, MD's 2023 MIPS final score plotted against the Pediatric Ophthalmology and Strabismus Specialist Physician national average

Below national average
MIPS Final Score
77.4655/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Ophthalmology and Strabismus Specialist Physician) — 77.4655/100 vs national avg 83.1

0%100%National avg83%77.5%
MIPS final score (Pediatric Ophthalmology and Strabismus Specialist Physician) — 77.4655/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ASHIMA GUPTA, MD appears in the CMS NPPES registry as a Pediatric Ophthalmology and Strabismus Specialist Physician provider holding MD credentials at 4940 HAZELWOOD AVE, LOUISVILLE, KY, 40214, with a listed phone of (502) 368-3937. NPI 1073509592 was issued on 09/20/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUPTA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 147 prescription claims written by this provider, covering 54 Medicare beneficiaries and totaling roughly $29K in drug spend, split 46% brand-name and 54% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.4655/100 for the 2023 performance year (Quality 100, Cost 24.885), compared with the national average of 83.1.

Pediatric Ophthalmology and Strabismus Specialist Physician is a narrow specialty nationwide, with 242 enrolled providers across 40 states and an average of 266 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

4940 HAZELWOOD AVE
LOUISVILLE, KY 40214

Provider Details

NPI 1073509592
Specialty Pediatric Ophthalmology and Strabismus Specialist Physician
Credentials MD
Gender Female
NPI Issued 09/20/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

77.4655
Final Score
Avg: 83.1
100
Quality
24.885
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where ASHIMA GUPTA, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

COMMONWEALTH OF KENTUCKY
LOUISVILLE, KY
KENTUCKY EYE SURGERY ASSOCIATES PSC
LOUISVILLE, KY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ASHIMA GUPTA, MD. Source: openpaymentsdata.cms.gov.

Total received

$303

Largest payer

Bayer Healthcare Pharmaceuticals Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Above average

ASHIMA GUPTA, MD — brand share 46.0%
Specialty average (est.)

46% brand-name claims vs 54% generic, on 147 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

147
Total Claims
$29K
Total Drug Cost
54
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
245
Total Day Supply
6,604
Brand vs Generic
46% brand / 54% generic
Brand Drug Cost
$24K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.69
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ASHIMA GUPTA, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Prednisolone Acetate
30
Latanoprost
28
Timolol Maleate
14
Restasis
Cyclosporine
13
Valacyclovir
Valacyclovir Hcl
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatric Ophthalmology and Strabismus Specialist Physician Overview

How ASHIMA GUPTA, MD fits within the Pediatric Ophthalmology and Strabismus Specialist Physician landscape nationally.

242
Pediatric Ophthalmology and Strabismus Specialist Physician Providers in US
40
States with Pediatric Ophthalmology and Strabismus Specialist Physician
266
Avg Claims per Provider

ASHIMA GUPTA, MD's 147 claims are below the specialty average of 266.

Nearby Pediatric Ophthalmology and Strabismus Specialist Physician Providers in Kentucky

Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as GUPTA.

Compare Pediatric Ophthalmology and Strabismus Specialist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ASHIMA GUPTA, MD's specialty?
ASHIMA GUPTA, MD specializes in Pediatric Ophthalmology and Strabismus Specialist Physician and practices in LOUISVILLE, Kentucky. Credentials: MD.
How much does ASHIMA GUPTA, MD prescribe under Medicare Part D?
In 2023, ASHIMA GUPTA, MD wrote 147 Medicare Part D claims totaling $29K in drug costs for 54 beneficiaries.
What is ASHIMA GUPTA, MD's Medicare quality score?
ASHIMA GUPTA, MD has a CMS MIPS Final Score of 77.4655/100 (Quality: 100, Cost: 24.885). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ASHIMA GUPTA, MD located?
ASHIMA GUPTA, MD is located at 4940 HAZELWOOD AVE, LOUISVILLE, KY, 40214. Phone: (502) 368-3937.
What is ASHIMA GUPTA, MD's NPI number?
ASHIMA GUPTA, MD's National Provider Identifier (NPI) is 1073509592, issued on 09/20/2005.
Does ASHIMA GUPTA, MD prescribe more brand-name or generic drugs?
ASHIMA GUPTA, MD's prescribing is 46% brand-name and 54% generic drugs by claim count, with $24K in brand drug costs.
How many Pediatric Ophthalmology and Strabismus Specialist Physician providers are there in the US?
There are 242 Pediatric Ophthalmology and Strabismus Specialist Physician providers across 40 states in the US. The average Pediatric Ophthalmology and Strabismus Specialist Physician provider writes 266 Medicare Part D claims per year.
What drugs does ASHIMA GUPTA, MD prescribe most often?
Based on 2023 Medicare Part D data, ASHIMA GUPTA, MD's most frequently prescribed drugs include Prednisolone Acetate, Latanoprost, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ASHIMA GUPTA, MD accept Medicare?
ASHIMA GUPTA, MD appears in CMS Medicare data with 147 Part D claims and 54 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ASHIMA GUPTA, MD's credentials?
ASHIMA GUPTA, MD's NPI is 1073509592 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology