2026 NPPES data Ophthalmology Physician NPI 1366559114 M.D.
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GAURAV GUPTA, M.D.

Ophthalmology Physician in PROVIDENCE, Rhode Island. 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
347
Medicare Part D claims · 132 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
48%
generic claims · 52% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$374.69
16 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: GAURAV GUPTA, M.D. is a Ophthalmology Physician ([object Object]) practicing in PROVIDENCE, Rhode Island with a Medicare Part D prescribing footprint of 347 claims across 132 beneficiaries — 52% brand-name prescribing . Industry payments of $374.69 across 16 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: GAURAV GUPTA, M.D. filed 347 Medicare Part D claims in 2023 across PROVIDENCE, Rhode Island. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

GAURAV GUPTA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

GAURAV GUPTA, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 08/25/2006

NPI 1366559114

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

347 76% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

Specialty distribution in Rhode Island

How Ophthalmology Physician compares to other specialties among Rhode Island providers

Rhode Island providers

Ophthalmology Physician share within Rhode Island

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Rhode Island

Specialty board-certification context

Estimated specialty board-certified rate — Ophthalmology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Ophthalmology Physician ABMS/AOA estimate

Est. board-certified rate (Ophthalmology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Ophthalmology Physician) — ABMS / AOA estimate

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).

GAURAV GUPTA, M.D. is a Ophthalmology Physician provider practicing in PROVIDENCE, Rhode Island, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1366559114. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

GAURAV GUPTA, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 150 E MANNING ST, PROVIDENCE, RI, 02906, with a listed phone of (401) 272-2020. NPI 1366559114 was issued on 08/25/2006. 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 347 prescription claims written by this provider, covering 132 Medicare beneficiaries and totaling roughly $47K in drug spend, split 52% brand-name and 48% 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.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

150 E MANNING ST
PROVIDENCE, RI 02906

Provider Details

NPI 1366559114
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 08/25/2006

Hospital and facility affiliations

Facilities where GAURAV GUPTA, M.D. 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.

REFOCUS EYE HEALTH OF RI, LLC
PROVIDENCE, RI

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 GAURAV GUPTA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$375

Largest payer

Regeneron Healthcare Solutions, 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 · Brand-heavy

GAURAV GUPTA, M.D. — brand share 52.0%
Specialty average (est.)

52% brand-name claims vs 48% generic, on 347 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.

347
Total Claims
$47K
Total Drug Cost
132
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
489
Total Day Supply
13,457
Brand vs Generic
52% brand / 48% generic
Brand Drug Cost
$43K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
76.3 years
Avg HCC Risk Score
1.66
Gender Split
55% female / 45% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prolensa
Bromfenac Sodium
83
Prednisolone Acetate
65
Ofloxacin
39
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
36
Erythromycin
Erythromycin Base
31
Latanoprost
24
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
22
Restasis
Cyclosporine
15
Brimonidine Tartrate
12

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

Ophthalmology Physician Overview

How GAURAV GUPTA, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

GAURAV GUPTA, M.D.'s 347 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Rhode Island

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GAURAV GUPTA, M.D.'s specialty?
GAURAV GUPTA, M.D. specializes in Ophthalmology Physician and practices in PROVIDENCE, Rhode Island. Credentials: M.D..
How much does GAURAV GUPTA, M.D. prescribe under Medicare Part D?
In 2023, GAURAV GUPTA, M.D. wrote 347 Medicare Part D claims totaling $47K in drug costs for 132 beneficiaries.
Where is GAURAV GUPTA, M.D. located?
GAURAV GUPTA, M.D. is located at 150 E MANNING ST, PROVIDENCE, RI, 02906. Phone: (401) 272-2020.
What is GAURAV GUPTA, M.D.'s NPI number?
GAURAV GUPTA, M.D.'s National Provider Identifier (NPI) is 1366559114, issued on 08/25/2006.
Does GAURAV GUPTA, M.D. prescribe more brand-name or generic drugs?
GAURAV GUPTA, M.D.'s prescribing is 52% brand-name and 48% generic drugs by claim count, with $43K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does GAURAV GUPTA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, GAURAV GUPTA, M.D.'s most frequently prescribed drugs include Prolensa, Prednisolone Acetate, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GAURAV GUPTA, M.D. accept Medicare?
GAURAV GUPTA, M.D. appears in CMS Medicare data with 347 Part D claims and 132 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GAURAV GUPTA, M.D.'s credentials?
GAURAV GUPTA, M.D.'s NPI is 1366559114 with credentials M.D.. 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.
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