NPPES file of Aug 9, 2026

Sanjay Agarwal, M.D.

Retina Specialist (Ophthalmology) Physician · Corpus Christi, TX

Sanjay Agarwal, M.D. is a retina specialist (ophthalmology) physician with a practice address in Corpus Christi, Texas, and NPI 1871575688, issued on Nov 17, 2005. Check the license (Texas K3960, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1871575688
Name
Sanjay Agarwal
Credential
M.D.
Primary taxonomy
Retina Specialist (Ophthalmology) Physician 207WX0107X
License number
K3960 TX
Self-reported in NPPES; status is on the state search
Practice location
5722 Esplanade Dr, Corpus Christi, TX 78414
Phone
(361) 980-1115
Enumerated
Nov 17, 2005
Record last updated
Nov 3, 2022
Fax
(361) 980-3999
Medicaid ID
164449401 TX
Medicare enrollment
Enrolled (PECOS I20040503001647); accepts Medicare assignment
Medical or professional school
West Virginia University School Of Medicine, 1989
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Sanjay Agarwal in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license K3960
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

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9% more Medicare Part D claims than the average retina specialist (ophthalmology) physician in 2024

676 Medicare Part D claims for 231 beneficiaries, against an average of 620 among the 1,449 providers of this specialty who prescribed in Part D. Brand-name drugs were 64% of claims.

  1. Sanjay Agarwal676
  2. Specialty average620

Most prescribed

  1. Eylea258 claims
  2. Neomycin-Polymyxin-Dexameth98 claims
  3. Vabysmo70 claims
  4. Dorzolamide-Timolol48 claims
  5. Ketorolac Tromethamine33 claims
  6. Prednisolone Acetate32 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $106.24

4 payments; by number, the most common kind was food and beverage; the largest payer was Regeneron Healthcare Solutions, Inc. The 1,253 providers of this specialty with any payment received $7,667.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sanjay Agarwal$106.24
  2. Specialty average$7,667.49

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Sanjay Agarwal among 107 retina specialist (ophthalmology) physician records in Texas

Sanjay Agarwal, M.D. is one of 107 retina specialist (ophthalmology) physician records with a practice address in Texas. 96% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 88% newer
  • In a Medicare fileYes · 96% of these records are
  • In the CMS Doctors and Clinicians fileYes · 90% of these records are
  • Graduated1989 · median 2006 among the 96 with a school on file
  • Record last updated2022 · 30% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207WX0107X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Retina Specialist (Ophthalmology) Physician providers in Texas

There are 107 retina specialist (ophthalmology) physician records in Texas.

The 8 retina specialist (ophthalmology) physician records with the nearest ZIP codes

  1. Rashed AlhabshanCorpus Christi, TX 784131811316680
  2. Bryan Angle, MDCorpus Christi, TX 784131457323537
  3. C. Barnes, M.D.Corpus Christi, TX 784131891724217
  4. Charles Campbell, M.D.Corpus Christi, TX 784131154395705
  5. Vernon Hermsen, M.D.Corpus Christi, TX 784131992815880
  6. Charles Mayron, M.D., F.A.C.S.Corpus Christi, TX 784131831119932
  7. Ronald Kuffel, M.D.Corpus Christi, TX 784111801895107
  8. John Howe, MDHarlingen, TX 785501235237504

Common questions

What is Sanjay Agarwal, M.D.'s NPI number?

Sanjay Agarwal, M.D.'s National Provider Identifier (NPI) is 1871575688, issued on Nov 17, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Sanjay Agarwal, M.D. located?

The NPPES record lists a practice address at 5722 Esplanade Dr, Corpus Christi, TX, 78414. Phone: (361) 980-1115. Providers update this record themselves, so call before visiting.

How can I verify Sanjay Agarwal, M.D.'s license?

NPPES lists Texas license number K3960, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sanjay Agarwal, M.D. prescribe under Medicare Part D?

In 2024, Sanjay Agarwal, M.D. had 676 Medicare Part D claims for 231 beneficiaries; the average among retina specialist (ophthalmology) physician prescribers was 620. Part D covers Medicare prescriptions only.

What is Sanjay Agarwal, M.D.'s MIPS final score?

The 2023 MIPS final score is 100 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.