Doctor profile · Federal record

Dr. Pavan Gupta, MD

Cardiovascular Disease Physician (CMS: Cardiovascular Disease (Cardiology)) · Hospitalist Physician · Student in an Organized Health Care Education/Training Program · Internal Medicine Physician · Internal Medicine Physician · O Fallon, IL

  • NPI 1861519563
  • Accepts Medicare
  • MIPS 92.6 / 100 · 2023
  • 22 yrs in practice
  • Licensed in 3 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
Three Saint Elizabeth Blvd Ste 2800
O Fallon, IL 622691282
(618) 233-6044
fax (833) 973-4218

Credentials & registration

NPPES · NUCC
NPI registered
March 2007 — 19 yrs on file
Profile last updated
December 21, 2021
Year of graduation
2004 — 22 yrs since
Specialty taxonomy
207RC0000X — NUCC code
State licenses (3)
Illinois #036130576 · Michigan #4301083827 · Rhode Island #MD13290
Medicaid
IL #036130576

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1861519563. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
3,970
Distinct HCPCS
10
Medicare allowed
$256,660
HCPCS Description Services Patients Avg allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 982 734 $8
99214 Established patient office or other outpatient visit, 30-39 minutes 837 651 $127
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 399 385 $68
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 168 65 $21
85610 Blood test, clotting time 163 18 $4
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec 159 26 $68
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 145 140 $14
93294 Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 143 62 $30
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 136 135 $21
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 136 135 $14

In context: peer comparison

Among 7 peers in O Fallon Cardiovascular Disease Physician, average services per provider: 134. This provider delivers 30× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$32
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Pfizer INC. 1 $32.45

By nature of payment

Food and Beverage
$32

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
5,152
Patients
1,609
Total drug cost
$532,891
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 650 191 $10,640
Amlodipine Besylate Generic 489 165 $5,451
Metoprolol Succinate Generic 474 157 $8,680
Eliquis (Apixaban) Brand 451 108 $468,329
Furosemide Generic 400 131 $2,728
Spironolactone Generic 379 120 $2,747
Metoprolol Tartrate Generic 344 113 $3,322
Losartan Potassium Generic 294 91 $4,153
Lisinopril Generic 286 92 $2,902
Isosorbide Mononitrate ER (Isosorbide Mononitrate) Brand 277 87 $5,383

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Pavan Gupta's medical specialty?
Dr. Pavan Gupta practices Cardiovascular Disease Physician in O Fallon, IL.
Where does Dr. Pavan Gupta practice?
Dr. Pavan Gupta practices at Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 622691282. Office phone: 6182336044.
What is Dr. Pavan Gupta's NPI?
Dr. Pavan Gupta's National Provider Identifier (NPI) is 1861519563, issued by NPPES.
Does Dr. Pavan Gupta accept Medicare assignment?
Yes. Dr. Pavan Gupta accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Pavan Gupta commonly perform?
Top Medicare-reported procedures in 2023: Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010); Established patient office or other outpatient visit (HCPCS 99214); Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS 93306). Source: CMS Medicare Physician & Other Practitioners file.