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Dr. Pavan Kumar Gupta, MD
NPI1861519563PAC ID2264525526
- Medicare services, 2024
- 4,058
- Medicare patients, 2024
- 1,967
- Part D claims, 2024
- 7,852
- Publications
- 1
- MIPS score, 2024
- 95
- Practice address
- 1 St Elizabeth Blvd, O'Fallon, IL 62269
- Practice phone
- Call (217) 492-9651
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
HSHS St. Elizabeth's Hospital
O'Fallon, Illinois
Find Dr. Gupta's professional email, personal email and mobile number
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Dr. Pavan Kumar Gupta is a cardiologist in O'Fallon, Illinois
Dr. Gupta practices at HSHS St. Elizabeth's Hospital in O'Fallon, Illinois.
Dr. Gupta's NPI, 1861519563, was assigned on March 26, 2007. Dr. Gupta graduated from University of Pittsburgh School of Medicine in 2004. Dr. Gupta holds Illinois license 036130576.
NPI and contact details
- NPI
- 1861519563NPI Registry (opens in a new tab)
- Medicare PAC ID
- 2264525526
- NPI enumeration date
- March 26, 2007
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (217) 492-9651
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 48
- Medical school graduation
- 2004
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Pavan Kumar Gupta practices at HSHS St. Elizabeth's Hospital in O'Fallon, Illinois
Dr. Gupta's primary practice is HSHS St. Elizabeth's Hospital, at 1 St Elizabeth Blvd, O'Fallon, IL 62269 in Saint Clair County. The practice phone is (217) 492-9651.
- HSHS St. Elizabeth's Hospital1 St Elizabeth Blvd, O'Fallon, IL 62269 · Saint Clair CountyPhone(217) 492-9651
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Pavan Kumar Gupta is affiliated with 8 sites of care and 5 medical groups
Dr. Gupta's primary practice is HSHS St. Elizabeth's Hospital in O'Fallon, Illinois. Dr. Gupta is also affiliated with HSHS St. Elizabeth's Hospital. The medical group on file is Prairie Cardiovascular. Dmand AI also links Dr. Gupta to 4 more hospitals, 4 medical groups and 2 group practices and clinics, each named with a free account.
HSHS St. Elizabeth's HospitalPrimary
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Pavan Kumar Gupta's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Gupta practices, 7 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| HSHS St. Elizabeth's Hospital | Available with a free account |
| +7 more sites and 4 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Pavan Kumar Gupta is one of 908 cardiologists in Illinois
Cardiovascular disease is Dr. Gupta's primary specialty in the NPI Registry, under taxonomy code 207RC0000X. Dmand AI has Dr. Gupta's licenses on file in 3 states: Illinois, Michigan and Rhode Island.
Specialties and state licenses
- Cardiovascular disease, IllinoisPrimary
- Hospitalist, Michigan
- Internal medicine, Rhode Island
Cardiologists near Dr. Gupta
Counts of cardiologists with a Dmand AI profile, by place and practice. Each opens the list.
908cardiologists in Illinois
7cardiologists in O'Fallon
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Pavan Kumar Gupta billed Medicare for 4,058 services in 2024
CMS data shows 4,058 Medicare services from Dr. Gupta across 23 procedure codes in 2024, for 1,967 Medicare patients. Medicare paid $184,827 for them.
Medicare services, 20244,058
Medicare patients1,967
Paid by Medicare$184,827
Procedure codes23
Dr. Gupta's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Tests and treatments
- 2023: 2,3932024: 2,74715%
- Office and hospital visits
- 2023: 1,1052024: 1,0614%
- Lab and pathology
- 2023: 1632024: 17910%
- Imaging
- 2023: 902024: 6033%
- Other services
- 2023: 2192024: 1195%
Where Dr. Gupta's Medicare services took place, 2024
- In an office1,90847%
- In a facility2,15053%
Dr. Gupta compared with the Illinois median for cardiologists, 2024
- Dr. Gupta
- Illinois median
- Medicare services
- 4,058vs 1,9362.1 times
- Medicare patients
- 1,967vs 1,02392% above
- Part D claims
- 7,560vs 1,5025.0 times
Medians across 906 cardiologists in Illinois with Dmand AI profiles that report each measure.
Dr. Gupta's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Pavan Kumar Gupta treated 1,967 Medicare patients in 2024, average age 76
CMS counts 1,967 Medicare patients who saw Dr. Gupta in 2024. The largest group is 65 to 74, with 706 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 15% are also on Medicaid. Their average risk score is 1.75, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Gupta's median patient age at 73, with 52% women.
Medicare patients, 20241,967
Average age76
Average risk score1.75
Also on Medicaid15%
Dr. Gupta's Medicare patients by age, 2024
Dr. Gupta's Medicare patients by sex, 2024
- Women1,02052%
- Men94748%
Chronic conditions among Dr. Gupta's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis56%
- Ischemic heart disease54%
- Chronic kidney disease43%
- Heart failure41%
- Diabetes39%
- Atrial fibrillation38%
Share of Medicare patients with each condition. A patient can have several.
Dr. Gupta's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 73
Patient panel by sex, all payers
- Women52%
- Men48%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Pavan Kumar Gupta wrote 7,852 Medicare Part D claims in 2024
In 2024, Dr. Gupta wrote 7,852 Medicare Part D claims for 1,027 patients. 88% of them were for generic drugs. CMS names the drug for 7,560 of them, across 60 drugs with 11 or more claims each, at $946,190 in total drug cost. In 2023, CMS named 7,055 claims across 59 drugs.
Part D claims, 20247,852
Drugs named by CMS60
Total drug cost$946,190
Part D patients1,027
Dr. Gupta's Part D claims by kind of drug, 2024
- Generic6,876 claims88%
- Brand-name976 claims12%
Dr. Gupta's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 7,0552024: 7,5607%
Drugs named by CMS: 60 in 2024, 59 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Pavan Kumar Gupta scored 95 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 95 out of 100 for Dr. Gupta for performance year 2024, reported through an alternative payment model (APM). Dr. Gupta accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Gupta's MIPS scores, performance year 2024
- 95of 100Final score
- 86of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Pavan Kumar Gupta has 1 publication on record
Dmand AI links 1 paper to Dr. Gupta. Dr. Gupta's most frequent co-author is Grace Conard, MD.
Papers1
Dr. Gupta's most frequent co-authors
Recent publications by Dr. Gupta
See who Dr. Gupta researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Gupta works with, so you can find a warm path to the right cardiologists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Pavan Kumar Gupta received $698 in industry payments from 2016 to 2025
CMS Open Payments shows 42 general payments to Dr. Gupta from 16 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 96% of the total. Amgen Inc. paid the most, $137.
General payments to Dr. Gupta by program year, 2016 to 2025
General payments to Dr. Gupta by kind, 2016 to 2025
$698in total
- Food and beverage$66996%
- Education$294%
Companies that paid Dr. Gupta the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Pavan Kumar Gupta graduated from University of Pittsburgh School of Medicine
Dr. Gupta graduated from University of Pittsburgh School of Medicine in 2004.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Pavan Kumar Gupta's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Pavan Kumar Gupta
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Pavan Kumar Gupta's NPI number?
Dr. Pavan Kumar Gupta's NPI number is 1861519563. It was assigned on March 26, 2007, and it is active in the NPI Registry.
What kind of doctor is Dr. Pavan Kumar Gupta?
Dr. Pavan Kumar Gupta is a cardiologist in O'Fallon, Illinois. The primary specialty in the NPI Registry is Cardiovascular Disease Physician (taxonomy code 207RC0000X).
Where does Dr. Pavan Kumar Gupta practice?
Dr. Gupta practices at 1 St Elizabeth Blvd, O'Fallon, IL 62269. Dr. Gupta's primary practice is HSHS St. Elizabeth's Hospital in O'Fallon, Illinois. Dmand AI also links Dr. Gupta to 4 hospitals, 4 medical groups and 2 group practices and clinics.
What is Dr. Pavan Kumar Gupta's office phone number?
The practice phone on file for Dr. Gupta is (217) 492-9651.
What is Dr. Pavan Kumar Gupta's medical license number?
Dr. Gupta holds Illinois license 036130576, one of the licenses on file in 3 states.
Which states has Dr. Pavan Kumar Gupta been licensed in?
Dmand AI has state licenses on file for Dr. Gupta in Illinois, Michigan and Rhode Island.
Which hospitals is Dr. Pavan Kumar Gupta affiliated with?
Dr. Gupta is affiliated with HSHS St. Elizabeth's Hospital. Dmand AI links Dr. Gupta to 4 more hospitals.
What medical group is Dr. Pavan Kumar Gupta part of?
Dr. Gupta is linked to Prairie Cardiovascular. Dmand AI links Dr. Gupta to 4 more medical groups.
Does Dr. Pavan Kumar Gupta accept Medicare?
Yes. CMS data shows Dr. Gupta billed Medicare for 4,058 services in 2024, and Dr. Gupta accepts Medicare assignment.
What is Dr. Pavan Kumar Gupta's MIPS score?
Dr. Gupta's MIPS final score for performance year 2024 is 95 out of 100, reported through an alternative payment model (APM).
Show 8 more questionsShow fewer questions
How many Medicare patients does Dr. Pavan Kumar Gupta see?
CMS counts 1,967 Medicare patients who saw Dr. Gupta in 2024, with an average age of 76.
What services does Dr. Pavan Kumar Gupta bill to Medicare?
In 2024, Dr. Gupta's most billed Medicare services were heart test or procedure (93010), office visit, established patient (99214) and heart test or procedure (93306).
Where did Dr. Pavan Kumar Gupta go to medical school?
Dr. Gupta graduated from University of Pittsburgh School of Medicine in 2004.
What drugs does Dr. Pavan Kumar Gupta prescribe most?
In 2024 Medicare Part D data, Dr. Gupta's most prescribed drugs by claims were Atorvastatin Calcium, Metoprolol Succinate and Amlodipine Besylate.
Has Dr. Pavan Kumar Gupta received payments from drug or device companies?
CMS Open Payments shows $698 in general payments to Dr. Gupta from 16 companies from 2016 to 2025. The largest total came from Amgen Inc.
How long has Dr. Pavan Kumar Gupta been practicing?
Dr. Gupta graduated from medical school in 2004, 22 years ago.
Does Dr. Pavan Kumar Gupta do research?
Dmand AI links 1 publication to Dr. Gupta.
Who does Dr. Pavan Kumar Gupta publish with?
Dr. Gupta's most frequent co-authors are Grace Conard, MD (1 shared paper).
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