Doctor profile · Federal record
Dr. Nilesh Gupta, M.D.
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Critical Care Medicine (Internal Medicine) Physician · Sleep Medicine (Internal Medicine) Physician · Menomonee Falls, WI
- NPI 1255363636
- Accepts Medicare
- 31 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
N84W16889 Menomonee Ave
Menomonee Falls, WI 53051
(262) 251-7500
fax (262) 251-7128 - Mailing address
-
Po Box 735044
Chicago, IL 606735044
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- April 1, 2024
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Wisconsin #43436
- Medicaid
- WI #34636700
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1255363636. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
911
Distinct HCPCS
10
Medicare allowed
$57,234
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 265 | 197 | $117 | |
J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 156 | 51 | $0 | |
J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg | 102 | 34 | $0 | |
94726 |
Test to determine lung volumes using sensors | 95 | 95 | $50 | |
94060 |
Test to measure expiratory airflow and volume changes before and after medication administration | 88 | 87 | $36 | |
94729 |
Test to examine how well the lungs exchange gases | 86 | 86 | $52 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $156 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 21 | 19 | $85 | |
94010 |
Test to measure expiratory airflow and volume | 17 | 17 | $25 | |
95810 |
Sleep study in sleep lab (6 years or older) | 17 | 17 | $112 |
In context: peer comparison
Among 3 peers in Menomonee Falls Pulmonary Disease Physician, average services per provider: 61. This provider delivers 15× the peer median.Open Payments
Industry payments received
All-time total
$95
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals Lp | 1 | $94.66 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,123
Patients
226
Total drug cost
$514,383
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 231 | 42 | $228,236 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 161 | 75 | $4,267 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 146 | 29 | $103,792 |
| Prednisone | Generic | 76 | 15 | $369 |
| Trazodone Hcl | Generic | 65 | 13 | $777 |
| Zolpidem Tartrate | Generic | 62 | 15 | $686 |
| Incruse Ellipta (Umeclidinium Bromide) | Brand | 60 | 0 | $25,227 |
| Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) | Brand | 54 | 14 | $43,213 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 53 | 0 | $41,554 |
| Fluticasone-Salmeterol (Fluticasone Propion/Salmeterol) | Brand | 46 | 12 | $9,882 |
Hospital affiliations
Frequently asked questions
What is Dr. Nilesh Gupta's medical specialty?
Dr. Nilesh Gupta practices Pulmonary Disease Physician in Menomonee Falls, WI.
Where does Dr. Nilesh Gupta practice?
Dr. Nilesh Gupta practices at N84W16889 Menomonee Ave, Menomonee Falls, WI 53051. Office phone: 2622517500.
What is Dr. Nilesh Gupta's NPI?
Dr. Nilesh Gupta's National Provider Identifier (NPI) is 1255363636, issued by NPPES.
Does Dr. Nilesh Gupta accept Medicare assignment?
Yes. Dr. Nilesh Gupta accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nilesh Gupta commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS J7613); Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg (HCPCS J7614). Source: CMS Medicare Physician & Other Practitioners file.