Priti Modi, M.D., F.A.C.P.
NPI 1568440246 · Internal Medicine Physician · Modesto, CA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priti Modi, M.D., F.A.C.P. is a Internal Medicine Physician provider in Modesto, CA (NPI 1568440246).
Provider details
- NPI number
- 1568440246
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., F.A.C.P.
- Sex
- Female
- Sole proprietor
- Yes
- License
- A52036 (CA)
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
2,417 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 1,082 | $116 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 437 | $129 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 181 | $86 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 115 | $170 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 112 | $52 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent Visit |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 244 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 859 | 144 |
| Levothyroxine Sodium | 714 | 189 |
| Rosuvastatin Calcium | 437 | 117 |
| Atorvastatin Calcium | 401 | 115 |
| Gabapentin | 315 | 109 |
| Trazodone Hcl | 300 | 95 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,541 across 55 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
- 2006-01-04
- Last updated
- 2016-02-09
Frequently asked questions
- What is Priti Modi's NPI number?
- Priti Modi's National Provider Identifier (NPI) is 1568440246, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priti Modi's specialty?
- Priti Modi is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Priti Modi located?
- Priti Modi's practice location on file with NPPES is 1608 Tully Rd, Modesto, CA 95350-4031.
- What is Priti Modi's phone number?
- The practice phone number listed in the NPPES registry for Priti Modi is (209) 409-8589.
- Does Priti Modi accept Medicare?
- Priti Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priti Modi's NPI active?
- Yes — Priti Modi's NPI (1568440246) is active in the NPPES registry as of the last update on 2016-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.