NPI registry status
Active
2026 NPPES data Ophthalmology Physician NPI 1003893454 MD
Verify on CMS → Nikhil Wagle, MD
Ophthalmology Physician in Rock Island, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 22,388 in Ophthalmology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
7K
Medicare Part D claims · 1K beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
55%
generic claims · 45% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.8/100
▼ 8 pts below national avg 83.5 · Above neutral
Industry payments
$20.6K
78 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Nikhil Wagle, MD reported a CMS MIPS final score of 75.8/100 - below the 83.5 national average - and filed 7,059 Medicare Part D claims in 2024.
- 75.8/100
- MIPS score · -8 vs avg
- 7K
- Part D claims, 2024
- 55%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Nikhil Wagle, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1003893454), first enumerated 12/28/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 7,059 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 75.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$20.6K in reported industry payments (78 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not Nikhil Wagle, MD's individual license status. Verify directly with the state medical board.
Source: IDFPR annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1003893454 · Ophthalmology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-BELOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1003893454
- ENUM-LEGACY 2005
- TAX-MID 22K Ophthalmology Physician
- MIPS-BELOW 75.8/100
- RX-MID 7,059
- BOOK-LIGHT 891 in Illinois
- PHOTO-FINISH Kathleen Albrecht, M… · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Wagle · this pro…
Wagle · this provider
75.8 MIPS pts
- Tina Eckhardt, M…
Tina Eckhardt, M.D.
75.8 MIPS pts
- Kathleen Albrech…
Kathleen Albrecht, M.D.
75.8 MIPS pts
- William Benevent…
William Benevento, MD
75.8 MIPS pts
- Connor Davenport…
Connor Davenport, MD
75.8 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Nikhil Wagle, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
76 ≥ 15th percentile 15% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Nikhil Wagle, MD sits
This provider among ophthalmology physician peers
Across the 8,767 ophthalmology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Nikhil Wagle, MD writes more Part D claims than 98% of them and scores higher on MIPS quality than 18% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one ophthalmology physician peer from a representative sample of 60; the gold marker is Nikhil Wagle, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Nikhil Wagle, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Nikhil Wagle, MD?
Below national averagePrimary specialty
Ophthalmology Physician
Medicare Part D claims
7,059 374% vs specialty avg
MIPS final score
75.8/100 7.7 pts vs avg
Specialty distribution in Illinois
How Ophthalmology Physician compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Nikhil Wagle, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average
- MIPS Final Score
- 75.8/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1003893454 |
|---|---|
| Specialty | Ophthalmology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 12/28/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75.7528
Final Score
Measured-score avg: 83.5
100
Quality
19.176
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Nikhil Wagle, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Eye Surgeons Associates PC
Rock Island, IL
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Nikhil Wagle, MD. Source: openpaymentsdata.cms.gov.
Total received
$20.6K
Largest payer
ABBVIE INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Illinois IDFPR 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 - they are NOT specific to Nikhil Wagle, MD. To verify Nikhil Wagle, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Nikhil Wagle, MD - brand share 45.0%
Ophthalmology Physician average
45% brand-name claims vs 55% generic, on 7,059 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
7,059
Total Claims
$905K
Total Drug Cost
1,408
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 10,838.733
- Total Day Supply
- 300,459
- Brand vs Generic
- 45% brand / 55% generic
- Brand Drug Cost
- $797K
- Generic Drug Cost
- $108K
Patient Demographics
- Average Patient Age
- 76.5 years
- Avg HCC Risk Score
- 1.15
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 34, 65-74: 562, 75-84: 587, 85+: 225
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Nikhil Wagle, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Latanoprost
Latanoprost
2,089 claims
- Lumigan
Lumigan
888 claims
- Dorzolamide-Timolol 675
Dorzolamide-Timolol
675 claims
- Moxifloxacin 590
Moxifloxacin
590 claims
- Prednisolone Acetate 482
Prednisolone Acetate
482 claims
- Brimonidine Tartrate 251
Brimonidine Tartrate
251 claims
- Brimonidine Tartra… 242
Brimonidine Tartrate-Timolol
242 claims
- Combigan 220
Combigan
220 claims
| Drug | Claims |
|---|---|
| Latanoprost | 2,089 |
| Lumigan Bimatoprost | 888 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 675 |
| Moxifloxacin Moxifloxacin Hcl | 590 |
| Prednisolone Acetate | 482 |
| Brimonidine Tartrate | 251 |
| Brimonidine Tartrate-Timolol Brimonidine Tartrate/Timolol | 242 |
| Combigan Brimonidine Tartrate/Timolol | 220 |
| Timolol Maleate | 211 |
| Dorzolamide Hcl | 193 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Ophthalmology Physician Overview
How Nikhil Wagle, MD fits within the Ophthalmology Physician landscape nationally.
22,388
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,490
Avg Claims per Provider
Nikhil Wagle, MD's 7,059 claims are above the specialty average of 1,490.
Nationwide Ophthalmology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Wagle, both outside Illinois so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75.8 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Ophthalmology Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Wagle.
One of 891 Ophthalmology Physician providers enrolled in Illinois, 5 are shown here.
Dr. Walid Abdallah
MD
Rockford, IL
Dr. Robert Abishek
MD
Chicago, IL
Dr. Ashley Abraham
M.D.
Springfield, IL
Dr. Evelyn Ackermann
MD
Elgin, IL
Dr. Kathleen Ackman Blake
MD
Hinsdale, IL
Compare Ophthalmology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Nikhil Wagle, MD's specialty? ▼
Nikhil Wagle, MD specializes in Ophthalmology Physician and practices in Rock Island, Illinois. Credentials: MD.
How much does Nikhil Wagle, MD prescribe under Medicare Part D? ▼
In 2024, Nikhil Wagle, MD wrote 7,059 Medicare Part D claims totaling $905K in drug costs for 1,408 beneficiaries.
What is Nikhil Wagle, MD's Medicare quality score? ▼
Nikhil Wagle, MD has a CMS MIPS Final Score of 75.8/100 (Quality: 100, Cost: 19.2). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nikhil Wagle, MD located? ▼
Nikhil Wagle, MD is located at 4731 45TH STREET CT, Rock Island, IL, 61201. Phone: (309) 793-2020.
What is Nikhil Wagle, MD's NPI number? ▼
Nikhil Wagle, MD's National Provider Identifier (NPI) is 1003893454, issued on 12/28/2005.
Does Nikhil Wagle, MD prescribe more brand-name or generic drugs? ▼
Nikhil Wagle, MD's prescribing is 45% brand-name and 55% generic drugs by claim count, with $797K in brand drug costs.
How many Ophthalmology Physician providers are there in the US? ▼
There are 22,388 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,490 Medicare Part D claims per year.
What drugs does Nikhil Wagle, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Nikhil Wagle, MD's most frequently prescribed drugs include Latanoprost, Lumigan, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nikhil Wagle, MD accept Medicare? ▼
Nikhil Wagle, MD appears in CMS Medicare data with 7,059 Part D claims and 1,408 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nikhil Wagle, MD's credentials? ▼
Nikhil Wagle, MD's NPI is 1003893454 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.