Fagunkumar Modi, MD
NPI 1619117421 · Pulmonary Disease Physician · Crystal River, FL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fagunkumar Modi, MD is a Pulmonary Disease Physician provider in Crystal River, FL (NPI 1619117421).
Provider details
- NPI number
- 1619117421
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME120896 (FL)
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
17 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
3,788 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 | 1,372 | $115 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 584 | $124 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 363 | $168 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 131 | $175 |
| Face-To-Face Behavioral Counseling for Obesity, 15 MinutesG0447 | 120 | $25 |
| Critical Care, First 30-74 Minutes99291 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 34 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 235 | 84 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 140 | 81 |
| Azithromycin | 77 | 59 |
| Methylprednisolone | 67 | 51 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 65 | 29 |
| Levothyroxine Sodium | 52 | 12 |
| Montelukast Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$359 across 14 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
- 2009-03-06
- Last updated
- 2026-03-25
- Certified
- 2026-03-25
Frequently asked questions
- What is Fagunkumar Modi's NPI number?
- Fagunkumar Modi's National Provider Identifier (NPI) is 1619117421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fagunkumar Modi's specialty?
- Fagunkumar Modi is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Fagunkumar Modi located?
- Fagunkumar Modi's practice location on file with NPPES is 1550 N Shockley Loop, Crystal River, FL 34429-7816.
- What is Fagunkumar Modi's phone number?
- The practice phone number listed in the NPPES registry for Fagunkumar Modi is (352) 795-1999.
- Does Fagunkumar Modi accept Medicare?
- Fagunkumar Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Fagunkumar Modi's NPI active?
- Yes — Fagunkumar Modi's NPI (1619117421) is active in the NPPES registry as of the last update on 2026-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.