NPPES file of Aug 9, 2026

Pankaj Gupta, MD

Otolaryngology Physician · Durham, NC

Pankaj Gupta, MD is an otolaryngology physician with a practice address in Durham, North Carolina, and NPI 1306880992, issued on Jun 15, 2006. Check the license on the North Carolina Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1306880992
Name
Pankaj Gupta
Credential
MD
Primary taxonomy
Otolaryngology Physician 207Y00000X
License number
41792-020 WI
Self-reported in NPPES; status is on the state search
Practice location
4102 N Roxboro St, Durham, NC 27704
Phone
(919) 595-2000
Enumerated
Jun 15, 2006
Record last updated
Dec 13, 2023
Fax
(919) 595-2190
Medicare enrollment
Enrolled (PECOS I20090324000490); accepts Medicare assignment
Medical or professional school
Northwestern University Feinberg Medical School, 1992
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 4102 N Roxboro St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Dorothy Bell, MDOphthalmology Physician1851391239
  2. Shannon Bomstein, AUDAudiologist1881323764
  3. Andrea Engel, AU.D.Audiologist1114114915
  4. Sara Grace, M.D.Ophthalmology Physician1629369350
  5. Anne Harbour-Tonn, SLPSpeech-Language Pathologist1588713044
  6. Havan Harris, MS, CCC-SLPSpeech-Language Pathologist1194450999

Verify Pankaj Gupta in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNorth Carolina Medical BoardCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the North Carolina license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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26% more Medicare Part D claims than the average otolaryngology physician in 2024

682 Medicare Part D claims for 244 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims. 57 claims were for opioids.

  1. Pankaj Gupta682
  2. Specialty average541

Most prescribed

  1. Prednisone62 claims
  2. Hydrocodone-Acetaminophen53 claims
  3. Ipratropium Bromide47 claims
  4. Doxycycline Hyclate39 claims
  5. Fluocinolone Acetonide Oil29 claims
  6. Ciprofloxacin-Dexamethasone28 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 MIPS final score for 2023 (Medicare payment program): 77 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score60.4
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%96.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $402.07

14 payments; by number, the most common kind was food and beverage; the largest payer was Regeneron Healthcare Solutions, Inc. The 6,429 providers of this specialty with any payment received $1,922.50 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Pankaj Gupta$402.07
  2. Specialty average$1,922.50

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Pankaj Gupta among 403 otolaryngology physician records in North Carolina

Pankaj Gupta, MD is one of 403 otolaryngology physician records with a practice address in North Carolina. 80% 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 11% of them.

  • NPI issued2006 · 11% of these records are older, 45% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated1992 · median 2002 among the 269 with a school on file
  • Record last updated2023 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Otolaryngology Physician providers in North Carolina

There are 403 otolaryngology physician records in North Carolina.

The 8 otolaryngology physician records with the nearest ZIP codes

  1. Dane Barrett, MDDurham, NC 277041033436423
  2. Sarah Hodges, M.D.Durham, NC 277041255371720
  3. Gregory Hulka, MDDurham, NC 277041457315954
  4. Rick Kappelmann, MCDurham, NC 277041942268131
  5. Benjamin Oberman, M.D.Durham, NC 277041699069807
  6. Liana Puscas, M.D.Durham, NC 277041568545820
  7. James Ross, M.D.Durham, NC 277041588641500
  8. Sheila Ryan, M.D.Durham, NC 277041316924384

Common questions

What is Pankaj Gupta, MD's NPI number?

Pankaj Gupta, MD's National Provider Identifier (NPI) is 1306880992, issued on Jun 15, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Pankaj Gupta, MD located?

The NPPES record lists a practice address at 4102 N Roxboro St, Durham, NC, 27704. Phone: (919) 595-2000. Providers update this record themselves, so call before visiting.

How can I verify Pankaj Gupta, MD's license?

Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Pankaj Gupta, MD prescribe under Medicare Part D?

In 2024, Pankaj Gupta, MD had 682 Medicare Part D claims for 244 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.

What is Pankaj Gupta, MD's MIPS final score?

The 2023 MIPS final score is 77 of 100. 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.