2026 NPPES data Geriatric Medicine (Family Medicine) Physician NPI 1790764314 M.D.
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ARVIND MODAWAL, M.D.

Geriatric Medicine (Family Medicine) Physician in WEST CHESTER, Ohio. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
19K
Medicare Part D claims · 400 beneficiaries · Geriatric Medicine (Family Medicine) Physician avg: 5K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: ARVIND MODAWAL, M.D. is a Geriatric Medicine (Family Medicine) Physician ([object Object]) practicing in WEST CHESTER, Ohio with a Medicare Part D prescribing footprint of 19K claims across 400 beneficiaries — 11% brand-name prescribing .

What stands out: ARVIND MODAWAL, M.D. filed 19,199 Medicare Part D claims in 2023 across WEST CHESTER, Ohio. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ARVIND MODAWAL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ARVIND MODAWAL, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 01/12/2006

NPI 1790764314

Primary specialty

Geriatric Medicine (Family Medicine) Physician

Niche

1,779 US NPIs in this specialty

Medicare Part D claims

19,199 296% vs specialty avg

2023 prescription claims

Specialty avg: 4,854

Specialty distribution in Ohio

How Geriatric Medicine (Family Medicine) Physician compares to other specialties among Ohio providers

Ohio providers

Geriatric Medicine (Family Medicine) Physician share within Ohio

1. Geriatric Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Geriatric Medicine (Family Medicine) Physician share within Ohio

Specialty board-certification context

Estimated specialty board-certified rate — Geriatric Medicine (Family Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Geriatric Medicine (Family Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Geriatric Medicine (Family Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Geriatric Medicine (Family Medicine) Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ARVIND MODAWAL, M.D. is a Geriatric Medicine (Family Medicine) Physician provider practicing in WEST CHESTER, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1790764314. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ARVIND MODAWAL, M.D. appears in the CMS NPPES registry as a Geriatric Medicine (Family Medicine) Physician provider holding M.D. credentials at 7700 UNIVERSITY CT STE 3100, WEST CHESTER, OH, 45069, with a listed phone of (513) 475-8264. NPI 1790764314 was issued on 01/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MODAWAL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 19,199 prescription claims written by this provider, covering 400 Medicare beneficiaries and totaling roughly $994K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 0.8%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Geriatric Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 1,779 enrolled providers across 52 states and an average of 4,854 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

7700 UNIVERSITY CT STE 3100
WEST CHESTER, OH 45069

Provider Details

NPI 1790764314
Specialty Geriatric Medicine (Family Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 01/12/2006

Hospital and facility affiliations

Facilities where ARVIND MODAWAL, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ARVIND MODAWAL MD INC
FAIRFIELD, OH
CENTRAL OHIO HOSPITALISTS, INC
COLUMBUS, OH
PAI PARTICIPANT 1 LLC
CHILLICOTHE, OH

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Ohio OMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to ARVIND MODAWAL, M.D.. To verify ARVIND MODAWAL, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ARVIND MODAWAL, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 19,199 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

19,199
Total Claims
$994K
Total Drug Cost
400
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
19,250
Total Day Supply
370,431
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$621K
Generic Drug Cost
$372K
Opioid Claims
158 (0.8% rate)
Antibiotic Claims
284

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
2.38
Gender Split
53% female / 47% male
Age Distribution
<65: 70, 65-74: 128, 75-84: 117, 85+: 85

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
997
Quetiapine Fumarate
803
Donepezil Hcl
717
Levothyroxine Sodium
595
Furosemide
569
Amlodipine Besylate
524
Mirtazapine
464
Divalproex Sodium
463
Sertraline Hcl
461
Pantoprazole Sodium
428

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Geriatric Medicine (Family Medicine) Physician Overview

How ARVIND MODAWAL, M.D. fits within the Geriatric Medicine (Family Medicine) Physician landscape nationally.

1,779
Geriatric Medicine (Family Medicine) Physician Providers in US
52
States with Geriatric Medicine (Family Medicine) Physician
4,854
Avg Claims per Provider

ARVIND MODAWAL, M.D.'s 19,199 claims are above the specialty average of 4,854.

Nearby Geriatric Medicine (Family Medicine) Physician Providers in Ohio

Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as MODAWAL.

Compare Geriatric Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ARVIND MODAWAL, M.D.'s specialty?
ARVIND MODAWAL, M.D. specializes in Geriatric Medicine (Family Medicine) Physician and practices in WEST CHESTER, Ohio. Credentials: M.D..
How much does ARVIND MODAWAL, M.D. prescribe under Medicare Part D?
In 2023, ARVIND MODAWAL, M.D. wrote 19,199 Medicare Part D claims totaling $994K in drug costs for 400 beneficiaries.
Where is ARVIND MODAWAL, M.D. located?
ARVIND MODAWAL, M.D. is located at 7700 UNIVERSITY CT STE 3100, WEST CHESTER, OH, 45069. Phone: (513) 475-8264.
What is ARVIND MODAWAL, M.D.'s NPI number?
ARVIND MODAWAL, M.D.'s National Provider Identifier (NPI) is 1790764314, issued on 01/12/2006.
Does ARVIND MODAWAL, M.D. prescribe more brand-name or generic drugs?
ARVIND MODAWAL, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $621K in brand drug costs.
Does ARVIND MODAWAL, M.D. prescribe opioids?
Yes, ARVIND MODAWAL, M.D. had 158 opioid claims in 2023 with an opioid prescribing rate of 0.8%.
How many Geriatric Medicine (Family Medicine) Physician providers are there in the US?
There are 1,779 Geriatric Medicine (Family Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Family Medicine) Physician provider writes 4,854 Medicare Part D claims per year.
What drugs does ARVIND MODAWAL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ARVIND MODAWAL, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Quetiapine Fumarate, Donepezil Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ARVIND MODAWAL, M.D. accept Medicare?
ARVIND MODAWAL, M.D. appears in CMS Medicare data with 19,199 Part D claims and 400 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ARVIND MODAWAL, M.D.'s credentials?
ARVIND MODAWAL, M.D.'s NPI is 1790764314 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology