Tejas Modi, M.D.
NPI 1912245267 · Hematology & Oncology Physician · Madisonville, KY
Enrolled with Medicare as Practitioner - Hematology/Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tejas Modi, M.D. is a Hematology & Oncology Physician provider in Madisonville, KY (NPI 1912245267).
Provider details
- NPI number
- 1912245267
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4933 (KY)
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
13 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
1,801 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,178 | $94 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 334 | $77 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 72 | $123 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 68 | $127 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 51 | $64 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 38 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ondansetron Hcl | 107 | 65 |
| Anastrozole | 89 | 27 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 82 | 30 |
| Acalabrutinib Maleatebrand: Calquence | 76 | — |
| Potassium Chloride | 62 | 35 |
| Hydroxyurea | 55 | 13 |
| Abiraterone Acetate | 53 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$403 across 20 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
- 2013-01-22
- Last updated
- 2020-12-04
- Certified
- 2020-12-04
Frequently asked questions
- What is Tejas Modi's NPI number?
- Tejas Modi's National Provider Identifier (NPI) is 1912245267, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tejas Modi's specialty?
- Tejas Modi is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Tejas Modi located?
- Tejas Modi's practice location on file with NPPES is 900 Hospital Dr, Madisonville, KY 42431-1644.
- What is Tejas Modi's phone number?
- The practice phone number listed in the NPPES registry for Tejas Modi is (270) 825-5800.
- Does Tejas Modi accept Medicare?
- Tejas Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tejas Modi's NPI active?
- Yes — Tejas Modi's NPI (1912245267) is active in the NPPES registry as of the last update on 2020-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.