Swati Agarwal-Sinha, MD
NPI 1659578623 · Ophthalmology Physician · Green Bay, WI
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Swati Agarwal-Sinha, MD is a Ophthalmology Physician provider in Green Bay, WI (NPI 1659578623).
Provider details
- NPI number
- 1659578623
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 50587-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
840 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 | 237 | $40 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 109 | $163 |
| Photography of the Retina92250 | 105 | $36 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 104 | $125 |
| Injection of Drug Into Eye67028 | 99 | $118 |
| Established Patient Complete Exam of Visual System92014 | 62 | $123 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 56 | 38 |
| Ofloxacin | 34 | 24 |
| Ketorolac Tromethamine | 21 | 14 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 14 | — |
| Latanoprost | 14 | — |
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.
$2,216 across 4 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 (1)
- 442 N Westhill Blvd Ste aAppleton, WI 54914-5830Phone: (920) 751-8666Fax: (920) 751-8676
Registry dates
- Enumerated
- 2007-07-02
- Last updated
- 2025-10-08
- Certified
- 2025-10-08
Frequently asked questions
- What is Swati Agarwal-Sinha's NPI number?
- Swati Agarwal-Sinha's National Provider Identifier (NPI) is 1659578623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Swati Agarwal-Sinha's specialty?
- Swati Agarwal-Sinha is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Swati Agarwal-Sinha located?
- Swati Agarwal-Sinha's practice location on file with NPPES is 480 Pilgrim Way Ste 1305, Green Bay, WI 54304-5279.
- What is Swati Agarwal-Sinha's phone number?
- The practice phone number listed in the NPPES registry for Swati Agarwal-Sinha is (920) 592-0111.
- Does Swati Agarwal-Sinha accept Medicare?
- Swati Agarwal-Sinha is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Swati Agarwal-Sinha's NPI active?
- Yes — Swati Agarwal-Sinha's NPI (1659578623) is active in the NPPES registry as of the last update on 2025-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.