Seema Modi, MD
NPI 1043204423 · Geriatric Medicine (Family Medicine) Physician · Plano, TX
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Seema Modi, MD is a Geriatric Medicine (Family Medicine) Physician provider in Plano, TX (NPI 1043204423).
Provider details
- NPI number
- 1043204423
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- N0285 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
664 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 149 | $9 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 128 | $86 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 54 | $122 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 47 | $123 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 35 | $173 |
| Blood Test, Basic Group of Blood Chemicals (calcium, Total)80048 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 77 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 196 | 81 |
| Rosuvastatin Calcium | 153 | 62 |
| Atorvastatin Calcium | 149 | 64 |
| Amlodipine Besylate | 117 | 58 |
| Gabapentin | 107 | 55 |
| Losartan Potassium | 103 | 49 |
| Lisinopril |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$126 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-31
- Last updated
- 2026-03-24
- Certified
- 2026-03-24
Frequently asked questions
- What is Seema Modi's NPI number?
- Seema Modi's National Provider Identifier (NPI) is 1043204423, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Seema Modi's specialty?
- Seema Modi is listed in the NPPES registry with a primary specialty of Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Seema Modi located?
- Seema Modi's practice location on file with NPPES is 3001 Dallas Pkwy Ste 100, Plano, TX 75093-5900.
- What is Seema Modi's phone number?
- The practice phone number listed in the NPPES registry for Seema Modi is (945) 800-7804.
- Does Seema Modi accept Medicare?
- Seema Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Seema Modi's NPI active?
- Yes — Seema Modi's NPI (1043204423) is active in the NPPES registry as of the last update on 2026-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.