NPI registry status
Active
2026 NPPES data Physician Assistant NPI 1578113908 PA-C
Verify on CMS → Avani Modi, PA-C
Physician Assistant in Aurora, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 149,975 in Physician Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 319 beneficiaries · Physician Assistant avg: 790
MIPS score
97.6/100
▲ 14 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Avani Modi, PA-C reported a CMS MIPS final score of 97.6/100 - above the 83.1 national average - and filed 1,276 Medicare Part D claims in 2023.
- 97.6/100
- MIPS score · +14 vs avg
- 1K
- Part D claims, 2023
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Avani Modi, PA-C's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
98 Top 15% higher than 85% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Avani Modi, PA-C sits
This provider among physician assistant peers
Across the 27,054 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Avani Modi, PA-C writes more Part D claims than 86% of them and scores higher on MIPS quality than 87% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one physician assistant peer from a representative sample of 60; the gold marker is Avani Modi, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Avani Modi, PA-C?
High performer (top quartile)Primary specialty
Physician Assistant
Medicare Part D claims
1,276 62% vs specialty avg
MIPS final score
97.6/100 14.5 pts vs avg
Specialty distribution in Colorado
How Physician Assistant compares to other specialties among Colorado providers
Medicare quality performance, MIPS
Avani Modi, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average
- MIPS Final Score
- 97.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Physician Assistant) - 97.6/100 vs national avg 83.1
How MIPS and board certification work
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).
Avani Modi, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 1635 AURORA CT, Aurora, CO, 80045, with a listed phone of (720) 848-0000. NPI 1578113908 was issued on 09/17/2019.
Medicare Part D records for calendar year 2023 show 1,276 prescription claims written by this provider, covering 319 Medicare beneficiaries and totaling roughly $329K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.6/100 for the 2023 performance year (Quality 86.5), compared with the national average of 83.1.
Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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
Provider Details
| NPI | 1578113908 |
|---|---|
| Specialty | Physician Assistant |
| Credentials | PA-C |
| Gender | Female |
| NPI Issued | 09/17/2019 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.5814
Final Score
Avg: 83.1
86.5348
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Avani Modi, PA-C 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.
University Physicians Incorporated
Aurora, CO
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,276
Total Claims
$329K
Total Drug Cost
319
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,604
- Total Day Supply
- 77,004
- Generic Drug Cost
- $84K
Patient Demographics
- Average Patient Age
- 78.5 years
- Avg HCC Risk Score
- 1.42
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 20, 65-74: 75, 75-84: 145, 85+: 79
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Avani Modi, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Donepezil Hcl
Donepezil Hcl
370 claims
- Memantine Hcl 118
Memantine Hcl
118 claims
- Mirtazapine 90
Mirtazapine
90 claims
- Memantine Hcl Er 82
Memantine Hcl Er
82 claims
- Gabapentin 73
Gabapentin
73 claims
- Quetiapine Fumarate 70
Quetiapine Fumarate
70 claims
- Rivastigmine 66
Rivastigmine
66 claims
- Escitalopram Oxalate 46
Escitalopram Oxalate
46 claims
| Drug | Claims |
|---|---|
| Donepezil Hcl | 370 |
| Memantine Hcl | 118 |
| Mirtazapine | 90 |
| Memantine Hcl Er Memantine Hcl | 82 |
| Gabapentin | 73 |
| Quetiapine Fumarate | 70 |
| Rivastigmine | 66 |
| Escitalopram Oxalate | 46 |
| Sertraline Hcl | 36 |
| Galantamine Er Galantamine Hbr | 27 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physician Assistant Overview
How Avani Modi, PA-C fits within the Physician Assistant landscape nationally.
149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider
Avani Modi, PA-C's 1,276 claims are above the specialty average of 790.
Nearby Physician Assistant Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Modi.
Dr. Hannah Abbe
PA
Denver, CO
Elise Abbott
Fort Collins, CO
Dr. Jennifer Abbott
PA-C
Colorado Springs, CO
Alexander Abbruzzese
Fort Carson, CO
Dr. Mary Abraham
PA-C
Colorado Springs, CO
Compare Physician Assistant nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Colorado medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Avani Modi, PA-C's specialty? ▼
Avani Modi, PA-C specializes in Physician Assistant and practices in Aurora, Colorado. Credentials: PA-C.
How much does Avani Modi, PA-C prescribe under Medicare Part D? ▼
In 2023, Avani Modi, PA-C wrote 1,276 Medicare Part D claims totaling $329K in drug costs for 319 beneficiaries.
What is Avani Modi, PA-C's Medicare quality score? ▼
Avani Modi, PA-C has a CMS MIPS Final Score of 97.6/100 (Quality: 86.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Avani Modi, PA-C located? ▼
Avani Modi, PA-C is located at 1635 AURORA CT, Aurora, CO, 80045. Phone: (720) 848-0000.
What is Avani Modi, PA-C's NPI number? ▼
Avani Modi, PA-C's National Provider Identifier (NPI) is 1578113908, issued on 09/17/2019.
How many Physician Assistant providers are there in the US? ▼
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does Avani Modi, PA-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Avani Modi, PA-C's most frequently prescribed drugs include Donepezil Hcl, Memantine Hcl, Mirtazapine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Avani Modi, PA-C accept Medicare? ▼
Avani Modi, PA-C appears in CMS Medicare data with 1,276 Part D claims and 319 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Avani Modi, PA-C's credentials? ▼
Avani Modi, PA-C's NPI is 1578113908 with credentials PA-C. 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
View source datasets and methodology notes
- 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.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- 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
Compiled from official public sources by the PlainDoctor editorial team.