Sushil Pandey, MD
NPI 1568788099 · Colon & Rectal Surgery Physician · Surprise, AZ
Enrolled with Medicare as Practitioner - Colorectal Surgery (proctology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sushil Pandey, MD is a Colon & Rectal Surgery Physician provider in Surprise, AZ (NPI 1568788099).
Provider details
- NPI number
- 1568788099
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 43251 (AZ)
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
16 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
1,715 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 | 572 | $91 |
| Diagnostic Exam of Anus Using an Endoscope46600 | 321 | $117 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 248 | $111 |
| Removal of External Hemorrhoids By Rubber Banding46221 | 197 | $284 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 95 | $177 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levofloxacin | 82 | 71 |
| Metronidazole | 80 | 70 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 32 | 22 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude 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 no Part D record, 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.
$13,187 across 22 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)
- 525 S Watson Rd Ste 205Buckeye, AZ 85326-3451Phone: (623) 440-6591Fax: (623) 440-8142
- 13555 W Mcdowell Rd Ste 204Goodyear, AZ 85395-2626Phone: (623) 440-6591Fax: (623) 440-8142
- 9150 W Indian School Rd Ste 107Phoenix, AZ 85037-2385Phone: (623) 440-6591Fax: (623) 440-8142
Registry dates
- Enumerated
- 2010-04-08
- Last updated
- 2022-09-12
- Certified
- 2022-09-12
Frequently asked questions
- What is Sushil Pandey's NPI number?
- Sushil Pandey's National Provider Identifier (NPI) is 1568788099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sushil Pandey's specialty?
- Sushil Pandey is listed in the NPPES registry with a primary specialty of Colon & Rectal Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Sushil Pandey located?
- Sushil Pandey's practice location on file with NPPES is 18715 N Reems Rd Ste 140, Surprise, AZ 85374-8643.
- What is Sushil Pandey's phone number?
- The practice phone number listed in the NPPES registry for Sushil Pandey is (623) 440-6591.
- Does Sushil Pandey accept Medicare?
- Sushil Pandey is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sushil Pandey's NPI active?
- Yes — Sushil Pandey's NPI (1568788099) is active in the NPPES registry as of the last update on 2022-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.