Sushma Gangisetty, OD
NPI 1033817879 · Optometrist · Eatontown, NJ
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sushma Gangisetty, OD is a Optometrist provider in Eatontown, NJ (NPI 1033817879).
Provider details
- NPI number
- 1033817879
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 27OA00716400 (NJ)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
3 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
299 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 83 | $96 |
| Established Patient Complete Exam of Visual System92014 | 69 | $134 |
| New Patient Complete Exam of Visual System92004 | 29 | $158 |
| Established Patient Problem Focused Exam of Visual System92012 | 25 | $95 |
| Imaging of Retina92134 | 23 | $43 |
| Exam of Visual Field With Extended Testing92083 | 19 | $68 |
| Imaging of Optic Nerve |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tobramycin/Dexamethasonebrand: Tobramycin-Dexamethasone | 59 | 58 |
| Latanoprost | 31 | 15 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 22 | — |
| Prednisolone Acetate | 19 | 14 |
| Lifitegrastbrand: Xiidra | 17 | — |
| Neomycin/Polymyxin B/Dexamethabrand: Neomycin-Polymyxin-Dexameth | 16 | 14 |
| Ofloxacin | 15 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$631 across 20 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 100 Commons Way Ste 230Holmdel, NJ 07733-2935Phone: (732) 222-7373
- 180 White Rd Ste 202Little Silver, NJ 07739-1166Phone: (732) 222-7373
- 1963 Hwy 34 Ste 101Wall Township, NJ 07719-9777Phone: (732) 222-7373
Registry dates
- Enumerated
- 2023-02-21
- Last updated
- 2023-02-21
- Certified
- 2023-02-21
Frequently asked questions
- What is Sushma Gangisetty's NPI number?
- Sushma Gangisetty's National Provider Identifier (NPI) is 1033817879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sushma Gangisetty's specialty?
- Sushma Gangisetty is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Sushma Gangisetty located?
- Sushma Gangisetty's practice location on file with NPPES is 300 Highway 35 Ste 300, Eatontown, NJ 07724-2216.
- What is Sushma Gangisetty's phone number?
- The practice phone number listed in the NPPES registry for Sushma Gangisetty is (732) 222-7373.
- Does Sushma Gangisetty accept Medicare?
- Sushma Gangisetty is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sushma Gangisetty's NPI active?
- Yes — Sushma Gangisetty's NPI (1033817879) is active in the NPPES registry as of the last update on 2023-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.