Doctor profile · Federal record
Dr. Theodore Gupton, M.D.
Diagnostic Radiology Physician (CMS: Interventional Radiology) · Vascular & Interventional Radiology Physician · Fort Worth, TX
- NPI 1790019347
- MIPS 93.7 / 100 · 2023
- 17 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
815 Pennsylvania Ave
Fort Worth, TX 761042224
(817) 321-0404 - Mailing address
-
816 W Cannon Street
Fort Worth, TX 76104
Credentials & registration
- NPI registered
- September 2009 — 17 yrs on file
- Profile last updated
- June 20, 2024
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- Texas #Q2900
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790019347. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,629
Distinct HCPCS
10
Medicare allowed
$82,839
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
71045 |
X-ray of chest, 1 view | 815 | 762 | $9 | |
70450 |
Ct scan head or brain without contrast | 351 | 342 | $39 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 138 | 137 | $86 | |
72125 |
Ct scan of upper spine without contrast | 129 | 127 | $46 | |
74176 |
Ct scan of abdomen and pelvis without contrast | 109 | 107 | $80 | |
71260 |
Ct scan of chest with contrast | 97 | 97 | $54 | |
71046 |
X-ray of chest, 2 views | 82 | 82 | $10 | |
74018 |
X-ray of abdomen, 1 view | 76 | 70 | $9 | |
71250 |
Ct scan of chest without contrast | 71 | 70 | $50 | |
99152 |
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 69 | 68 | $12 |
In context: peer comparison
Among 91 peers in this city , average services per provider: 88. This provider delivers 30× the peer median.Open Payments
Industry payments received
All-time total
$904
Transactions
14
Manufacturers
8
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Inari Medical, Inc. | 2 | $315.85 | |
| Terumo Medical Corporation | 1 | $173.94 | |
| HEARTFLOW, INC. | 1 | $150.92 | |
| Stryker Corporation | 2 | $100.53 | |
| Medtronic, Inc. | 3 | $65.96 | |
| Sirtex Medical Inc | 3 | $57.21 | |
| Bard Peripheral Vascular, Inc. | 1 | $20.44 | |
| Medline Industries LP | 1 | $19.56 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Theodore Gupton's medical specialty?
Dr. Theodore Gupton practices Diagnostic Radiology Physician in Fort Worth, TX.
Where does Dr. Theodore Gupton practice?
Dr. Theodore Gupton practices at 815 Pennsylvania Ave, Fort Worth, TX 761042224. Office phone: 8173210404.
What is Dr. Theodore Gupton's NPI?
Dr. Theodore Gupton's National Provider Identifier (NPI) is 1790019347, issued by NPPES.
Does Dr. Theodore Gupton accept Medicare assignment?
Dr. Theodore Gupton does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Theodore Gupton commonly perform?
Top Medicare-reported procedures in 2023: X-ray of chest, 1 view (HCPCS 71045); Ct scan head or brain without contrast (HCPCS 70450); Ct scan of abdomen and pelvis with contrast (HCPCS 74177). Source: CMS Medicare Physician & Other Practitioners file.