Shubham Gupta, M.D.
Urogynecology and Reconstructive Pelvic Surgery
Shubham Gupta, M.D. practices as part of a group urogynecology and reconstructive pelvic surgery specialist practice in Lexington, KY. With 21+ years of experience, he has been practicing in the Lexington area. Among his Medicare patients, common conditions include hypertension, high cholesterol, and arthritis (per CMS data). CMS MIPS quality score: 79.48/100 (2023).
At a glance
- Uses generic medications more than 19% of reporting doctors in Kentucky
- Federal MIPS score higher than 18% of MIPS-scored doctors in Kentucky
- Virtual visits available — no app or travel required
Older · 470dNPPES updated 2025-01-21 · verify on CMS
Contact & Location
Practice Location
800 Rose St Ms235, Lexington, KY 40536-0001
How Does This Doctor Compare?
Based on Medicare data, this doctor favors affordable generic drugs over brand-name ones.
MIPS Score
202379.48/100
Kentucky avg: 90.2 · US avg: 83.6
⚠ Lower than most doctors nationally(-4.1 pts)
How the government rates this doctor's Medicare care quality. Scores above 75 are considered good.
Generic Rx
↑ Higher = better81.2%
Kentucky avg: 84.2 · US avg: 82.8
⚠ Lower than most doctors nationally(-1.6 pts)
How often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.
Medicare Patients
87
Unique beneficiaries
Standard volumePrescription Recipients
50
Patients prescribed
Prescriptions Written
122
Total claims
Total Medicare drug cost: $15k
Percentile rankings compared against 922 reporting peers in Kentucky.
Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.
What This Doctor Treats Most
Based on Medicare claims data — here's what patients commonly see this doctor for
Based on Medicare data, this doctor primarily manages Hypertension, High Cholesterol, and Arthritis.
High blood pressure — a leading risk factor for heart disease and stroke
US avg: 70.2%↑ More patients than average (+5%) — a focus area for this doctor
Elevated cholesterol or triglycerides that increase heart disease risk
US avg: 70.4%↑ More patients than average (+1%) — a focus area for this doctor
Joint inflammation causing pain, swelling, and stiffness
US avg: 49.3%↑ More patients than average (+7%) — a focus area for this doctor
Reduced blood flow to the heart muscle, commonly known as coronary artery disease
US avg: 31.7%↑ More patients than average (+12%) — a focus area for this doctor
Conditions affecting emotional state, including depression and bipolar disorder
A condition where the body cannot properly regulate blood sugar levels
US avg: 34.5%↑ More patients than average (+2%) — a focus area for this doctor
A mood disorder causing persistent sadness and loss of interest in activities
US avg: 31.8%↑ More patients than average (+2%) — a focus area for this doctor
Diseases involving abnormal cell growth with potential to spread to other body parts
US avg: 20.8%↑ More patients than average (+12%) — a focus area for this doctor
Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.
$2.3k received from industry
14 transactions reported in 2024 ·Moderate tier
Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.
Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Shubham Gupta's NPI.
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Background & Specialty
Education, training, and specialty classification from CMS NPPES and Medicare records.
Board certified · Jan 20, 2025
CMS-verified certification date
21 years in practice
Experienced
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Taxonomy: 2088F0040X
Mailing address
11100 Euclid Ave Ste 4554, Cleveland, OH 44106-1716
Differs from practice location
Virtual Urogynecology and Reconstructive Pelvic Surgery Care With Shubham Gupta
NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.
Schedule a virtual visit with Shubham Gupta for blood pressure monitoring, cholesterol management, arthritis follow-ups — no travel to Lexington required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.
Frequently Asked Questions
Common questions about Shubham Gupta
Dr. Gupta is listed as active in the NPI registry with telehealth listed in Lexington, KY. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (859) 218-5771.
Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.
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Medical Disclaimer: NPI Telehealth is a provider directory for informational purposes only. This page does not constitute medical advice, diagnosis, or treatment recommendations. Provider data is sourced from the CMS NPPES federal registry and public Medicare datasets. NPI Telehealth does not verify clinical qualifications beyond federal records. Data may not reflect real-time availability — always contact the provider's office directly to confirm details before seeking care.
Contact Shubham Gupta
Practice Location
800 Rose St Ms235, Lexington, KY 40536-0001
Mailing Address
11100 Euclid Ave Ste 4554, Cleveland, OH 44106-1716
This is a provider directory. Contact the office directly to schedule appointments.
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