Active NPI 1104037043 Individual Practitioner Male Practitioner

Dr. Wensi Sun , MD, PhD

Ophthalmology • Seattle, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Wensi Sun, MD, PhD is a certified Ophthalmology practicing in Seattle, WA. With approximately 43 years of clinical experience since completing medical education in 1983, Dr. Sun delivers high-quality medical care to the local community at 11231 ROOSEVELT WAY, NE.

Dr. Sun accepts Medicare assignment.

Frequently performed procedures and clinical services include examination of cornea and iris using lens device and slit lamp, established patient complete exam of visual system, established patient problem focused exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11231 Roosevelt Way, Ne

Seattle, WA 98125

Telephone 2063655800

Fax 2063642072

Associated Practice Facility / Clinic

🏢 Wensi Sun, Md, Ps, Inc Facility NPI 1336105006

Medicare Profile & Education

Medical School

Other

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Seattle, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +22.0 yrs vs City Avg

City Avg: 21.0 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

159 Specialists

Practicing in Seattle, WA (552 Statewide)

Telehealth Adoption Rate

3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

20.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sun (43 Years) 43 Yrs

Seattle Specialty Average (21.0 Years) 21.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92020 Examination of cornea and iris using lens device and slit lamp	162	126	$35.19	$30.51
92014 Established patient complete exam of visual system	135	115	$153.87	$142.07
92012 Established patient problem focused exam of visual system	110	63	$112.23	$100.91
92083 Exam of visual field with extended testing	70	69	$81.14	$72.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	27	$160.15	$141.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$190.83	$182.11
76514 Ultrasound scan of cornea to determine thickness	29	29	$20.45	$11.95
92250 Photography of the retina	24	23	$80.00	$40.37
68761 Closure of tear duct opening using plug	22	11	$177.18	$123.28
92202 Extended exam of the back part of the eye with optic nerve drawing	21	21	$22.05	$16.71
67820 Removal of eyelashes using forceps	18	14	$42.50	$20.28
66984 Removal of cataract with insertion of lens	17	11	$755.88	$595.74
92136 Measurement of corneal curvature and depth of eye	15	15	$85.00	$52.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92020 Examination of cornea and iris using lens device and slit lamp	179	143	$35.19	$30.75
92014 Established patient complete exam of visual system	170	134	$148.23	$140.97
92012 Established patient problem focused exam of visual system	141	76	$109.74	$101.92
92083 Exam of visual field with extended testing	72	71	$80.22	$71.90
68761 Closure of tear duct opening using plug	42	21	$177.57	$124.70
76514 Ultrasound scan of cornea to determine thickness	39	38	$19.15	$11.96
66984 Removal of cataract with insertion of lens	36	23	$749.31	$595.49
92202 Extended exam of the back part of the eye with optic nerve drawing	34	31	$20.50	$16.53
92250 Photography of the retina	33	33	$77.42	$40.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$188.36	$181.78
92136 Measurement of corneal curvature and depth of eye	25	25	$84.52	$51.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	20	$153.29	$135.45
76516 Ultrasound scan to determine eye length	21	20	$71.90	$53.48
67820 Removal of eyelashes using forceps	19	18	$42.11	$21.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92020 Examination of cornea and iris using lens device and slit lamp	145	119	$33.35	$31.04
92012 Established patient problem focused exam of visual system	144	80	$106.69	$100.60
92014 Established patient complete exam of visual system	134	116	$146.98	$141.98
92083 Exam of visual field with extended testing	65	64	$76.52	$72.24
92202 Extended exam of the back part of the eye with optic nerve drawing	46	43	$18.78	$16.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$187.79	$183.55
76514 Ultrasound scan of cornea to determine thickness	31	30	$19.35	$12.40
67820 Removal of eyelashes using forceps	30	23	$38.77	$20.82
92250 Photography of the retina	21	21	$71.90	$40.04
66984 Removal of cataract with insertion of lens	19	12	$738.68	$568.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$154.06	$133.24
76519 Ultrasound of eye for determination of lens power	14	14	$84.64	$77.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92020 Examination of cornea and iris using lens device and slit lamp	173	144	$32.05	$31.53
92012 Established patient problem focused exam of visual system	158	85	$105.51	$103.08
92014 Established patient complete exam of visual system	155	135	$144.07	$143.82
92083 Exam of visual field with extended testing	73	72	$75.00	$73.25
92202 Extended exam of the back part of the eye with optic nerve drawing	66	59	$18.38	$17.59
67820 Removal of eyelashes using forceps	62	47	$39.03	$23.36
68761 Closure of tear duct opening using plug	61	30	$174.87	$130.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$188.35	$185.20
92250 Photography of the retina	42	42	$62.76	$42.30
76514 Ultrasound scan of cornea to determine thickness	23	22	$18.09	$12.60
76519 Ultrasound of eye for determination of lens power	14	14	$76.07	$68.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$144.58	$143.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	170	132	$142.50	$141.37
92020 Examination of cornea and iris using lens device and slit lamp	136	119	$31.00	$30.93
92012 Established patient problem focused exam of visual system	74	52	$101.96	$99.96
92202 Extended exam of the back part of the eye with optic nerve drawing	74	69	$20.61	$17.30
92083 Exam of visual field with extended testing	58	56	$74.98	$72.14
67820 Removal of eyelashes using forceps	37	34	$46.08	$29.69
92250 Photography of the retina	37	37	$67.57	$49.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$180.58	$179.57
68761 Closure of tear duct opening using plug	30	15	$166.00	$119.60
76514 Ultrasound scan of cornea to determine thickness	21	21	$20.76	$12.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	447	164	$28.35	$27.70
92014 Established patient complete exam of visual system	251	189	$141.82	$139.00
92020 Examination of cornea and iris using lens device and slit lamp	181	160	$30.96	$29.80
92012 Established patient problem focused exam of visual system	125	85	$100.00	$97.12
92225 Examination of eye by ophthalmoscope with retinal drawing	94	58	$31.54	$29.07
92083 Exam of visual field with extended testing	83	82	$76.40	$71.29
92250 Photography of the retina	73	72	$81.05	$54.96
68761 Closure of tear duct opening using plug	60	30	$163.40	$123.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$180.33	$173.59
67820 Removal of eyelashes using forceps	48	41	$53.60	$36.32
76514 Ultrasound scan of cornea to determine thickness	23	23	$23.13	$13.04
66984 Removal of cataract with insertion of lens	17	13	$714.71	$697.66
76519 Ultrasound of eye for determination of lens power	16	16	$80.94	$65.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	483	187	$28.12	$26.56
92014 Established patient complete exam of visual system	307	220	$140.62	$134.34
92020 Examination of cornea and iris using lens device and slit lamp	228	202	$30.93	$28.27
92225 Examination of eye by ophthalmoscope with retinal drawing	113	76	$31.16	$28.68
92083 Exam of visual field with extended testing	107	103	$75.75	$68.52
92012 Established patient problem focused exam of visual system	98	77	$99.34	$93.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$181.69	$172.28
67820 Removal of eyelashes using forceps	58	53	$55.09	$43.85
68761 Closure of tear duct opening using plug	46	23	$126.09	$119.81
92250 Photography of the retina	46	46	$89.13	$60.75
66984 Removal of cataract with insertion of lens	34	26	$715.09	$678.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	23	$141.30	$113.40
76519 Ultrasound of eye for determination of lens power	29	29	$85.69	$80.75
76514 Ultrasound scan of cornea to determine thickness	24	24	$19.50	$15.17
76516 Ultrasound scan to determine eye length	14	14	$75.00	$67.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92226 Examination of eye by ophthalmoscope with retinal drawing	470	184	$28.03	$25.16
92014 Established patient complete exam of visual system	296	217	$137.83	$126.90
92020 Examination of cornea and iris using lens device and slit lamp	227	195	$31.00	$27.31
92225 Examination of eye by ophthalmoscope with retinal drawing	108	69	$31.00	$26.82
92083 Exam of visual field with extended testing	98	97	$75.10	$65.63
92012 Established patient problem focused exam of visual system	93	65	$95.38	$87.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$180.13	$161.60
68761 Closure of tear duct opening using plug	62	31	$125.39	$110.25
92250 Photography of the retina	55	55	$94.51	$68.58
67820 Removal of eyelashes using forceps	51	45	$54.90	$50.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	31	$139.09	$106.56
66984 Removal of cataract with insertion of lens	32	25	$715.00	$646.29
76519 Ultrasound of eye for determination of lens power	24	24	$87.25	$83.00
76516 Ultrasound scan to determine eye length	14	14	$84.29	$81.23
76514 Ultrasound scan of cornea to determine thickness	13	13	$19.38	$14.43

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WA MD00039922

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8277964 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. George Chin , MD

Ophthalmology

NPI 1114020146

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 24, 2014

Registered at 11231 ROOSEVELT WAY, NE, SEATTLE, WA 98125 (Tel: 2063655800)

📍

Updated Business Mailing Address September 24, 2014

Registered at 11231 ROOSEVELT WAY NE, SEATTLE, WA 981256225 (Tel: 2063655800)

👤

Provider Name / Credentials Updated September 24, 2014

Recorded as WENSI SUN, M.D., PH.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2014

Ophthalmology (License #MD00039922 in WA)

🟢

Initial NPI Registration & Enumeration May 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104037043

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 24, 2007

Last Update: September 24, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

11231 Roosevelt Way Ne

Seattle, WA 981256225

Phone: 2063655800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.