NPPES file of Aug 9, 2026

Sushant Wagley, MD

Retina Specialist (Ophthalmology) Physician · West Des Moines, IA

Sushant Wagley, MD is a retina specialist (ophthalmology) physician with a practice address in West Des Moines, Iowa, and NPI 1225481351, issued on Jul 13, 2016. Check the license (Iowa 49879, as entered in NPPES) on the Iowa Board of Medicine; 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
1225481351
Name
Sushant Wagley
Credential
MD
Primary taxonomy
Retina Specialist (Ophthalmology) Physician 207WX0107X
License number
49879 IA
Self-reported in NPPES; status is on the state search
Practice location
1501 50TH St Ste 133, West Des Moines, IA 50266
Phone
(515) 222-6400
Enumerated
Jul 13, 2016
Record last updated
May 1, 2023
Fax
(515) 225-8921
Medicare enrollment
Enrolled (PECOS I20220912000516); accepts Medicare assignment
Medical or professional school
Michigan State University College Of Human Medicine, 2016
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 Sushant Wagley in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIowa Board of Medicine
    Search for license 49879
    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
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35% fewer Medicare Part D claims than the average retina specialist (ophthalmology) physician in 2024

405 Medicare Part D claims for 146 beneficiaries, against an average of 620 among the 1,449 providers of this specialty who prescribed in Part D. Brand-name drugs were 40% of claims.

  1. Sushant Wagley405
  2. Specialty average620

Most prescribed

  1. Prednisolone Acetate155 claims
  2. Tobramycin108 claims
  3. Dorzolamide-Timolol28 claims
  4. Timolol Maleate25 claims
  5. Erythromycin21 claims
  6. Ketorolac Tromethamine15 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 practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $2,237.17

3 payments; by number, the most common kind was food and beverage; the largest payer was Genentech USA, 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. Sushant Wagley$2,237.17
  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.

Bills Medicare through one group practice

  1. Iowa Retina Consultants, PCWest Des Moines, IA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Retina Specialist (Ophthalmology) Physician providers in Iowa

There are 11 retina specialist (ophthalmology) physician records in Iowa.

Other retina specialist (ophthalmology) physician records in Iowa

  1. Riley Bylund, MDWest Des Moines, IA1336791045
  2. Cory Christensen, DO, MPHWest Des Moines, IA1952044877
  3. Beau Fenner, MDIowa City, IA1861124943
  4. Justin Grassmeyer, MDIowa City, IA1780262675
  5. Christopher Haupert, MDWest Des Moines, IA1780652800
  6. David Massop, MDDes Moines, IA1003267956
  7. Mohammad Sabbagh, MDSioux City, IA1386201549
  8. James Singer, DOWest Des Moines, IA1427369107
  9. Austin Strohbehn, MDWest Des Moines, IA1629482468
  10. Samuel Tadros, MDIowa City, IA1326786005

Common questions

What is Sushant Wagley, MD's NPI number?

Sushant Wagley, MD's National Provider Identifier (NPI) is 1225481351, issued on Jul 13, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Sushant Wagley, MD located?

The NPPES record lists a practice address at 1501 50TH St Ste 133, West Des Moines, IA, 50266. Phone: (515) 222-6400. Providers update this record themselves, so call before visiting.

How can I verify Sushant Wagley, MD's license?

NPPES lists Iowa license number 49879, as entered by the provider. Search the Iowa Board of Medicine at https://dial.iowa.gov/about-dial/boards-and-commissions/medicine. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sushant Wagley, MD prescribe under Medicare Part D?

In 2024, Sushant Wagley, MD had 405 Medicare Part D claims for 146 beneficiaries; the average among retina specialist (ophthalmology) physician prescribers was 620. Part D covers Medicare prescriptions only.

What is Sushant Wagley, MD's MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. 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.