NPI registry status
Active
2026 NPPES data Pediatric Ophthalmology and Strabismus Specialist Physician NPI 1073509592 MD
Verify on CMS → Ashima Gupta, MD
Pediatric Ophthalmology and Strabismus Specialist Physician in Louisville, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 265 in Pediatric Ophthalmology and Strabismus Specialist Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
77
Medicare Part D claims · 36 beneficiaries · Pediatric Ophthalmology and Strabismus Specialist Physician avg: 228
Generic prescribing
69%
generic claims · 31% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.5/100
▼ 6 pts below national avg 83.5 · Above neutral
Industry payments
$303.14
5 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Ashima Gupta, MD reported a CMS MIPS final score of 77.5/100 - below the 83.5 national average - and filed 77 Medicare Part D claims in 2024.
- 77.5/100
- MIPS score · -6 vs avg
- 77
- Part D claims, 2024
- 69%
- 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.
Federal trust snapshot
What official records show about Ashima Gupta, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1073509592), first enumerated 09/20/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 77 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 77.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$303.14 in reported industry payments (5 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1073509592 · Pediatric Ophthalmology and Strabismus Specialist Physician
NPI-10 · ENUM-LEGACY · TAX-TRACE · MIPS-BELOW · RX-TRACE · BOOK-THIN · PHOTO-FINISH
- NPI-10 1073509592
- ENUM-LEGACY 2005
- TAX-TRACE 265
- MIPS-BELOW 77.5/100
- RX-TRACE 77
- BOOK-THIN 3 in Kentucky
- PHOTO-FINISH Jamila Hiasat · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Evan Silverstein…
Evan Silverstein
76.2 MIPS pts
- Scott Lambert · …
Scott Lambert
76.5 MIPS pts
- Gupta · this pro…
Gupta · this provider
77.5 MIPS pts
- Preeti Patil · h…
Preeti Patil
77.5 MIPS pts
- Jamila Hiasat · …
Jamila Hiasat
77.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Ashima Gupta, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
78 ≥ 20th percentile 20% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Ashima Gupta, MD sits
This provider among pediatric ophthalmology and strabismus specialist physician peers
Across the 51 pediatric ophthalmology and strabismus specialist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ashima Gupta, MD writes more Part D claims than 63% of them and scores higher on MIPS quality than 20% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one pediatric ophthalmology and strabismus specialist physician peer from a representative sample of 50; the gold marker is Ashima Gupta, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 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 averagePrimary specialty
Pediatric Ophthalmology and Strabismus Specialist Physician
Medicare Part D claims
77 66% vs specialty avg
MIPS final score
77.5/100 6 pts vs avg
Specialty distribution in Kentucky
How Pediatric Ophthalmology and Strabismus Specialist Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Ashima Gupta, MD's 2023 MIPS final score plotted against the Pediatric Ophthalmology and Strabismus Specialist Physician national average
- MIPS Final Score
- 77.5/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
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
Measured-score avg: 83.5
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 31.0%
Pediatric Ophthalmology and Strabismus Specialist Physician average
31% brand-name claims vs 69% generic, on 77 2024 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 2024.
77
Total Claims
$21K
Total Drug Cost
36
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 146.633
- Total Day Supply
- 4,115
- Brand vs Generic
- 31% brand / 69% generic
- Brand Drug Cost
- $20K
- Generic Drug Cost
- $1,000
Patient Demographics
- Average Patient Age
- 71.9 years
- Avg HCC Risk Score
- 1.33
- Gender Split
- 64% female / 36% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Latanoprost | 25 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pediatric Ophthalmology and Strabismus Specialist Physician in KY →
All providers in Kentucky →
Compare specialties →
Pediatric Ophthalmology and Strabismus Specialist Physician Overview
How Ashima Gupta, MD fits within the Pediatric Ophthalmology and Strabismus Specialist Physician landscape nationally.
265
Pediatric Ophthalmology and Strabismus Specialist Physician Providers in US
42
States with Pediatric Ophthalmology and Strabismus Specialist Physician
228
Avg Claims per Provider
Ashima Gupta, MD's 77 claims are below the specialty average of 228.
Nationwide Pediatric Ophthalmology and Strabismus Specialist Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Gupta, both outside Kentucky so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (77.5 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 3 Pediatric Ophthalmology and Strabismus Specialist Physician providers enrolled in Kentucky, 2 are shown here.
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 2024, Ashima Gupta, MD wrote 77 Medicare Part D claims totaling $21K in drug costs for 36 beneficiaries.
What is Ashima Gupta, MD's Medicare quality score? ▼
Ashima Gupta, MD has a CMS MIPS Final Score of 77.5/100 (Quality: 100, Cost: 24.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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 31% brand-name and 69% generic drugs by claim count, with $20K in brand drug costs.
How many Pediatric Ophthalmology and Strabismus Specialist Physician providers are there in the US? ▼
There are 265 Pediatric Ophthalmology and Strabismus Specialist Physician providers across 42 states in the US. The average Pediatric Ophthalmology and Strabismus Specialist Physician provider writes 228 Medicare Part D claims per year.
What drugs does Ashima Gupta, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Ashima Gupta, MD's most frequently prescribed drugs include Latanoprost. 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 77 Part D claims and 36 Medicare beneficiaries in 2024. 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.