Sushant Wagley, MD
NPI 1225481351 · Retina Specialist (Ophthalmology) Physician · West Des Moines, IA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sushant Wagley, MD is a Retina Specialist (Ophthalmology) Physician provider in West Des Moines, IA (NPI 1225481351).
Provider details
- NPI number
- 1225481351
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 49879 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
4,636 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) |
|---|---|---|
| Imaging of Retina92134 | 1,608 | $39 |
| Injection of Drug Into Eye67028 | 936 | $121 |
| Established Patient Complete Exam of Visual System92014 | 436 | $123 |
| Photography of the Retina92250 | 307 | $36 |
| Established Patient Problem Focused Exam of Visual System92012 | 298 | $87 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 264 | $163 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 155 | 108 |
| Tobramycin | 108 | 86 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 28 | 16 |
| Timolol Maleate | 25 | 14 |
| Erythromycin Basebrand: Erythromycin | 21 | 13 |
| Ketorolac Tromethamine | 15 | 13 |
| Latanoprost | 13 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,237 across 3 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
Registry dates
- Enumerated
- 2016-07-13
- Last updated
- 2023-05-01
- Certified
- 2023-05-01
Frequently asked questions
- What is Sushant Wagley's NPI number?
- Sushant Wagley's National Provider Identifier (NPI) is 1225481351, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sushant Wagley's specialty?
- Sushant Wagley is listed in the NPPES registry with a primary specialty of Retina Specialist (Ophthalmology) Physician (Allopathic & Osteopathic Physicians).
- Where is Sushant Wagley located?
- Sushant Wagley's practice location on file with NPPES is 1501 50th St Ste 133, West Des Moines, IA 50266-5920.
- What is Sushant Wagley's phone number?
- The practice phone number listed in the NPPES registry for Sushant Wagley is (515) 222-6400.
- Does Sushant Wagley accept Medicare?
- Sushant Wagley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sushant Wagley's NPI active?
- Yes — Sushant Wagley's NPI (1225481351) is active in the NPPES registry as of the last update on 2023-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.