Swati Agarwal-Sinha, MD
Ophthalmology Physician · Green Bay, WI
Swati Agarwal-Sinha, MD is an ophthalmology physician with a practice address in Green Bay, Wisconsin, and NPI 1659578623, issued on Jul 2, 2007. Check the license (Wisconsin 50587-20, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Swati Agarwal-Sinha
- Credential
- MD
- Primary taxonomy
- Ophthalmology Physician 207W00000X
- License numbers
- 50587-20 WI
MFC1722 FL
MD61238685 WA
Self-reported in NPPES; status is on the state search - Practice location
- 480 Pilgrim Way Ste 1305, Green Bay, WI 54304
- Phone
- (920) 592-0111
- Enumerated
- Jul 2, 2007
- Record last updated
- Oct 8, 2025
- Fax
- (920) 592-1146
- Medicare enrollment
- Enrolled (PECOS I20070810000309); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest ophthalmology physician records → All 441 in Wisconsin → Look up another NPI →
Verify Swati Agarwal-Sinha in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 50587-20Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
88% fewer Medicare Part D claims than the average ophthalmology physician in 2024
176 Medicare Part D claims for 59 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 41% of claims.
Most prescribed
- Prednisolone Acetate56 claims
- Ofloxacin34 claims
- Ketorolac Tromethamine21 claims
- Dorzolamide-Timolol14 claims
- Latanoprost14 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): 93.1 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.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $2,215.95
4 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
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
- Northeast Wisconsin Retina Associates SCGreen Bay, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Swati Agarwal-Sinha among 441 ophthalmology physician records in Wisconsin
Swati Agarwal-Sinha, MD is one of 441 ophthalmology physician records with a practice address in Wisconsin. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 62% of them.
- NPI issued2007 · 62% of these records are older, 33% newer
- In a Medicare fileYes · 71% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated1994 · median 2005 among the 259 with a school on file
- Record last updated2025 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Ophthalmology Physician providers in Wisconsin
There are 441 ophthalmology physician records in Wisconsin.
All 441 in Wisconsin → Every provider in Green Bay → Ophthalmology Physician nationwide →
The 8 ophthalmology physician records with the nearest ZIP codes
- Daniel Dale, M.D.Green Bay, WI 543041326042730
- James Memmen, MDGreen Bay, WI 543041356367023
- Madeline Almond, MDGreen Bay, WI 543031720098288
- Dongmei Chen, M.D., PH.DGreen Bay, WI 543031841440138
- Alexander Foster, MDGreen Bay, WI 543031992233662
- William Foster, MDGreen Bay, WI 543031568490829
- Annette Giangiacomo, MDGreen Bay, WI 543031912929019
- Richard Heckert, MDGreen Bay, WI 543031467498915
Common questions
What is Swati Agarwal-Sinha, MD's NPI number?
Swati Agarwal-Sinha, MD's National Provider Identifier (NPI) is 1659578623, issued on Jul 2, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Swati Agarwal-Sinha, MD located?
The NPPES record lists a practice address at 480 Pilgrim Way Ste 1305, Green Bay, WI, 54304. Phone: (920) 592-0111. Providers update this record themselves, so call before visiting.
How can I verify Swati Agarwal-Sinha, MD's license?
NPPES lists Wisconsin license number 50587-20, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Swati Agarwal-Sinha, MD prescribe under Medicare Part D?
In 2024, Swati Agarwal-Sinha, MD had 176 Medicare Part D claims for 59 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.
What is Swati Agarwal-Sinha, MD's MIPS final score?
The 2023 MIPS final score is 93.1 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.