Pratik Modi, PA-C
NPI 1992133433 · Physician Assistant · Augusta, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pratik Modi, PA-C is a Physician Assistant provider in Augusta, GA (NPI 1992133433).
Provider details
- NPI number
- 1992133433
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 006993 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
99 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 | 71 | $78 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 14 | $53 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 14 | $116 |
Typical Medicare-allowed amounts for these services range $53–$116 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Carbidopa/Levodopabrand: Carbidopa-Levodopa | 87 | 44 |
| Carbidopa/Levodopabrand: Carbidopa-Levodopa Er | 36 | 18 |
| Donepezil Hcl | 31 | 18 |
| Gabapentin | 21 | — |
| Quetiapine Fumarate | 14 | — |
| Primidone | 14 | — |
| Rasagiline Mesylate | 13 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,015 across 51 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
Additional practice locations (1)
- 235 Peachtree St Ne Ste 2100Atlanta, GA 30303-1405Phone: (770) 329-6318
Registry dates
- Enumerated
- 2013-10-18
- Last updated
- 2023-11-15
- Certified
- 2023-11-15
Frequently asked questions
- What is Pratik Modi's NPI number?
- Pratik Modi's National Provider Identifier (NPI) is 1992133433, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pratik Modi's specialty?
- Pratik Modi is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Pratik Modi located?
- Pratik Modi's practice location on file with NPPES is 1120 15th St, Augusta, GA 30912-1405.
- What is Pratik Modi's phone number?
- The practice phone number listed in the NPPES registry for Pratik Modi is (706) 721-8623.
- Does Pratik Modi accept Medicare?
- Pratik Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pratik Modi's NPI active?
- Yes — Pratik Modi's NPI (1992133433) is active in the NPPES registry as of the last update on 2023-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.