DR. RADHA KRISHNA SANKA M.D.
NPI 1508042060
Ophthalmology in Mount Pleasant, WI

Q: What is Radha Sanka's NPI number?

The NPI number for Radha Sanka is 1508042060. It was assigned to this individual provider in the NPPES registry on January 15, 2008.

Q: What is Radha Sanka's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Radha Sanka was last updated on April 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 15, 2008PECOS EnrolledAccepts Medicare Assignment

78.15/100

CMS Quality Rating

3805B SPRING ST, MOUNT PLEASANT, WI 53405(262) 637-0500 Get Directions Write a Review

NPPES record last updated: April 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Radha Krishna Sanka M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RADHA KRISHNA SANKA M.D. (NPI 1508042060) is an individual ophthalmology provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (57019) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Duke University School Of Medicine (2006).

NPPES Registry Identity

NPI1508042060

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. RADHA KRISHNA SANKACredential: M.D.

Location Address3805B SPRING STMount Pleasant, WI 53405-1641

Mailing Address3805b Spring StMount Pleasant, WI 53405-1641 · (262) 637-0500

Phone(262) 637-0500

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2006

Enumeration DateJanuary 15, 2008

Last NPPES UpdateApril 16, 2012

✔ NPI 1508042060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in WI · 57019✔ Licensed in IL · 036.125446✔ Licensed in GA · 062429

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3805B SPRING ST, Mount Pleasant, WI 53405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Radha Krishna Sanka M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325179518

PECOS Enrollment IDI20120507000210

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

283 services179 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

239 services135 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

135 services135 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

121 services77 patients

Insertion of drug delivery implant into tear duct of eye 68841

This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.

111 services70 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

92 services63 patients

Placement of amniotic membrane on eye surface for wound healing 65778

The placement of an amniotic membrane on the eye surface is a treatment to promote healing of eye wounds. It involves placing a thin, protective layer over the eye. This layer, derived from the amniotic membrane, helps reduce inflammation and scarring, while encouraging healing.

88 services56 patients

Release of nerve using operating microscope 64727

This procedure, called a microsurgical nerve release, involves using a special microscope to enhance precision while freeing a trapped nerve. It can help alleviate pain and improve nerve function. It's a safe and effective method often used for conditions like carpal tunnel syndrome.

81 services48 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

80 services48 patients

Injection, moxifloxacin, 100 mg J2280

Moxifloxacin is an antibiotic injection used to treat various bacterial infections. The 100 mg dosage helps to stop the growth of bacteria. It's administered by a healthcare professional, typically into a vein. It's important to complete the treatment to fully clear the infection.

78 services47 patients

Removal of cataract with insertion of prosthetic lens 66984

77 services48 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

75 services26 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

72 services69 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

55 services40 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

49 services49 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

49 services49 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

39 services31 patients

Release of arm or leg nerve 64708

A release of an arm or leg nerve is a surgical procedure aimed at relieving pressure on the nerve. This pressure can cause pain, numbness, or weakness. During the procedure, the surgeon makes a small incision and gently moves tissues away from the nerve. This can help restore normal function and alleviate discomfort.

28 services21 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

26 services26 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Posterior chamber intraocular lens V2632

A Posterior Chamber Intraocular Lens (PCIOL) is a procedure done to improve vision after cataract surgery. It involves placing a small artificial lens in the back part of the eye, replacing the natural lens that was removed during cataract surgery.

25 services18 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

23 services22 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

21 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520096

Location3801 Spring StRacine, WI 53405 · Racine County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.15/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

27.17

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRUCE A LUCCAS, MD, LLC

Family Medicine

3805B SPRING ST, STE 130
RACINE, WI 53405

Racine County (262) 631-8750

INDER PAUL SINGH

Ophthalmology

3805B SPRING ST, SUITE 140
RACINE, WI 53405

Racine County (262) 637-8835

AHMED SIDDIG MUHAMMED AHMED MD

Psychiatry & Neurology (Neurology)

3805B SPRING ST, STE 320
RACINE, WI 53405

Racine County (262) 687-8322

DRS DECHECK AND MATACZYNSKI MD SC

Family Medicine

3805B SPRING ST, SUITE250
MOUNT PLEASANT, WI 53405

Racine County (262) 634-6679

JAMES SCARPACI MSW LCSW CADC III

Social Worker (Clinical)

3805B SPRING ST, SUITE 20
MOUNT PLEASANT, WI 53405

Racine County (262) 687-2222

DR. JAMES DEAN MATACZYNSKI MD

Family Medicine

3805B SPRING ST, SUITE 250
MOUNT PLEASANT, WI 53405

Racine County (262) 634-6679

MICHAEL DEROSE LCSW

Social Worker (Clinical)

3805B SPRING ST, SUITE 320
MOUNT PLEASANT, WI 53405

Racine County (262) 687-2222

STEPHEN V. MAWN M.D.

Preventive Medicine (Occupational Medicine)

3805B SPRING ST, SUITE 260
RACINE, WI 53405

Racine County (262) 687-6150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Radha Sanka's NPI number?

The NPI number for Radha Sanka is 1508042060. It was assigned to this individual provider in the NPPES registry on January 15, 2008.

Where is Radha Sanka located?

Radha Sanka practices at 3805B Spring St, Mount Pleasant, WI 53405. The listed phone number is (262) 637-0500.

What is Radha Sanka's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Radha Sanka enrolled in Medicare?

Yes. Radha Sanka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Radha Sanka accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Network Health and 1 other insurer list Radha Sanka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Radha Sanka affiliated with any hospitals?

According to CMS data, Radha Sanka is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Radha Sanka was last updated on April 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.