Physician

Vishal Gupta, MD

According to 2025 Medicare claims, Vishal Gupta, MD (NPI: 1114162625) practices gastroenterology in the Hagerstown-Martinsburg, MD-WV market, with the plurality of this provider's patient population coming from Berkeley, WV. This provider's primary affiliated billing organization is WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (NPI: 1275504508; TIN: 550492006) and primary practice location at 25401-1880. Gupta is affiliated with the McLaren High Performance Network, LLC (ACO ID: A3317), ACO West Virginia (ACO ID: A3563), and Mosaic ACO (ACO ID: A5033), participating under the MSSP model.

Gupta's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 494 traditional Medicare patients, billed 1,019 HCPCS/CPT codes, and received $95,309 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 356 prescription claims across 156 beneficiaries totaling $218,499 in drug costs, led by Linzess (Linaclotide). Open Payments data shows 5 records totaling $101. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has fallen sharply in recent years, from $210,024 to $95,309. In contrast, Part D prescription costs have risen steadily, from $65,377 to $218,499. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.