Medicare Enrolled
Dr. Nikhil Gupta, M.D.
Urology Physician · West Nyack, NY
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Gupta from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Gupta
Dr. Nikhil Gupta is an urology physician in West Nyack, NY, with 15 years of NPI registration. Based on federal Medicare data, Dr. Gupta performed 3,327 Medicare services across 2,467 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gupta received a total of $4,247 from 31 pharmaceutical and/or device companies across 141 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Gupta is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 15 years in practice
▲ Top 25% volume in NY
$4,247 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,327
Medicare services
Top 25% in NY for urology physician
2,467
Unique beneficiaries
$58
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~222 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
587 | $111 | $441 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
414 | $10 | $47 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
317 | $2 | $8 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
308 | $8 | $24 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
203 | $139 | $579 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
198 | $79 | $313 |
| Antibiotic sensitivity test A laboratory test that determines which antibiotics, antifungals, or antivirals are effective against a specific microorganism using microdilution or agar dilution methods. |
176 | $8 | $26 |
| Bacterial culture, aerobic A laboratory test that grows and identifies bacteria capable of surviving in oxygen. The results help determine the presence of specific aerobic microorganisms. |
105 | $8 | $24 |
| Urine culture, bacterial identification A laboratory test that grows and identifies bacteria from a urine sample to detect infections. |
105 | $8 | $24 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
90 | $47 | $172 |
| Injection, amikacin sulfate, 100 mg | 85 | $1 | $17 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
81 | $226 | $991 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
81 | $74 | $270 |
| Simple insertion of temporary bladder tube A procedure to place a temporary tube into the bladder. This allows for the drainage of urine from the bladder. |
70 | $56 | $220 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
66 | $8 | $9 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
49 | $121 | $446 |
| PSA test (prostate cancer screening) | 48 | $18 | $55 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
45 | $162 | $617 |
| Non-needle muscle activity measurement of bladder and bowel openings This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles. |
43 | $33 | $227 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
35 | $7 | $223 |
| Antimicrobial drug detection test A laboratory test used to identify the presence of antibiotics, antifungals, or antivirals in a sample. |
25 | $5 | $14 |
| Catheter specimen collection A procedure to collect a specimen using a catheter. This service is available in all places of service. |
24 | $8 | $9 |
| Other procedure on male genital system A surgical or medical intervention performed on the male genital organs that does not fall under other specific categories. |
23 | $268 | $1,305 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
23 | $51 | $203 |
| Imaging of urinary tract with contrast An imaging test of the urinary tract performed after a contrast agent is injected to enhance visibility of the structures. |
22 | $22 | $273 |
| Complex urodynamic pressure flow study A test that measures the pressure of urine flow in the bladder during voiding to evaluate how well the bladder and urethra are functioning. |
21 | $349 | $1,305 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
16 | $12 | $49 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
15 | $124 | $495 |
| Abdominal device insertion with pressure and urine flow study A procedure involving the placement of a device into the abdomen, accompanied by a study to measure pressure and urine flow rate. |
13 | $189 | $691 |
| Ureteral stent insertion via endoscope A flexible tube is inserted into the ureter using an endoscope to keep the passage open and allow urine to flow from the kidney to the bladder. |
13 | $120 | $1,443 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
13 | $236 | $960 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
13 | $96 | $394 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
1.1% high complexity
17.0% medium
81.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$4,247
Total received (2018-2024)
Avg $607/year across 7 years
Top 36% in NY for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
141
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,035 (95.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$212 (5.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$799
2023
$750
2022
$703
2021
$260
2020
$35
2019
$1,108
2018
$591
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Sumitomo Pharma America, Inc.
$238
Janssen Biotech, Inc.
$123
Myriad Genetic Laboratories, Inc.
$87
COLOPLAST CORP
$53
Endo USA, Inc.
$45
PFIZER INC.
$42
UROGEN PHARMA, INC.
$28
Blue Earth Diagnostics Limited
$27
Bayer Healthcare Pharmaceuticals Inc.
$27
Tolmar, Inc.
$26
Boston Scientific Corporation
$21
Telix Pharmaceuticals
$20
Hollister Incorporated
$16
ABC Home Medical Supply, Inc.
$16
Endo Pharmaceuticals Inc.
$15
Merck Sharp & Dohme LLC
$14
Top 3 companies account for 56.1% of 2024 payments
All-time payments by company (2018-2024) ›
PROCEPT BioRobotics Corporation
$1,000
Coloplast Corp
$475
Sumitomo Pharma America, Inc.
$370
Janssen Biotech, Inc.
$321
Boston Scientific Corporation
$290
Endo Pharmaceuticals Inc.
$253
Astellas Pharma US Inc
$236
PFIZER INC.
$211
UROVANT SCIENCES INC
$152
Myriad Genetic Laboratories, Inc.
$87
Hollister Incorporated
$82
COLOPLAST CORP
$76
Myovant Sciences Inc.
$75
UroGen Pharma, Inc.
$74
Bayer Healthcare Pharmaceuticals Inc.
$54
Blue Earth Diagnostics Limited
$53
Tolmar, Inc.
$52
Progenics Pharmaceuticals, Inc.
$48
Merck Sharp & Dohme LLC
$48
Endo USA, Inc.
$45
Dendreon Pharmaceuticals LLC
$32
Bayer HealthCare Pharmaceuticals Inc.
$28
UROGEN PHARMA, INC.
$28
180 Medical, Inc.
$27
Axonics, Inc.
$24
DENTSPLY IH AB
$21
AstraZeneca Pharmaceuticals LP
$21
Telix Pharmaceuticals
$20
ABC Home Medical Supply, Inc.
$16
DENTSPLY IH Inc.
$15
Merck Sharp & Dohme Corporation
$13
Top 3 companies account for 43.4% of all-time payments
Associated products mentioned in payments ›
AMS · AMS 700 · AVEED · AquaBeam Robotic System · Axumin · Bulkamid · ELIGARD · ERLEADA · GEMTESA · GENERAL ERECTILE DYSFUNCTION · GENERAL KIDNEY STONE DISEASE · ILLUCCIX · JELMYTO · KEYTRUDA · LYNPARZA · LoFric · Luja Coude · MYRBETRIQ · Myrbetriq · Nubeqa · ORGOVYX · Onli · POSLUMA · PROLARIS · PROVENGE · PYLARIFY · SpeediCath · TITAN · VaPro Pocket · XIAFLEX · XTANDI · Xtandi
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (95%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Urology physicians within 10 mi
477
Per 100K population
140.7
County median income
$110,631
Nearest hospital
NYACK HOSPITAL
2.5 mi
2.5 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Gupta is a clinical cardiology specialist, with above-average Medicare volume (top 25% in NY), with low-engagement industry engagement, with 15 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Gupta experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Gupta performed 587 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Gupta receive payments from pharmaceutical companies?
Yes. Dr. Gupta received a total of $4,247 from 31 companies across 141 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Gupta's costs compare to other urology physicians in West Nyack?
Dr. Gupta's average Medicare payment per service is $58. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Gupta) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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