Chintan Modi, M.D.
Gastroenterology Physician · Edison, NJ
Chintan Modi, M.D. is a gastroenterology physician with a practice address in Edison, New Jersey, and NPI 1649506932, issued on Oct 21, 2009. Check the license (New Jersey 25 MA 086 37300, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Chintan Modi
- Credential
- M.D.
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License numbers
- 25 MA 086 37300 NJ
25MA08637300 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 98 James Street, Edison, NJ 08820
- Phone
- (732) 243-9695
- Enumerated
- Oct 21, 2009
- Record last updated
- Sep 10, 2024
- Medicaid ID
- 0216844 NJ
- Medicare enrollment
- Enrolled (PECOS I20091231000230); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 98 James Street
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Cindy Breznak, MDOphthalmology Physician1508904269
- Mohammed Nizam, M.D.Neurology with Special Qualifications in Child Neurology Physician1326145764
Verify Chintan Modi in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25 MA 086 37300Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.6 times the Medicare Part D claims of the average gastroenterology physician in 2024
2,918 Medicare Part D claims for 673 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D.
Most prescribed
- Famotidine977 claims
- Lactulose229 claims
- Linzess227 claims
- Pantoprazole Sodium165 claims
- Sucralfate158 claims
- Dicyclomine Hcl140 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 95.5 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $5,990.77
10 payments; by number, the most common kind was food and beverage; the largest payer was Madrigal Pharmaceuticals. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Hackensack Meridian Health Medical Group - Specialty Care PCRed Bank, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Gastroenterology Physician providers in New Jersey
There are 735 gastroenterology physician records in New Jersey.
Other gastroenterology physician records in New Jersey
- Bernard Aaron, M.D.Brick, NJ1962475566
- George Abdelsayed, MDNew Brunswick, NJ1144298613
- Rini Abraham, M.D.Montclair, NJ1285893321
- Melville Ackerman, MDMedford, NJ1598707580
- Faiz AfridiNewark, NJ1124480132
- Anil Agarwal, MDClifton, NJ1497704373
- Sudhir Agarwal, MDSuccasunna, NJ1215006275
- Aakash Aggarwal, MDHackensack, NJ1942597588
- Ahmed Ahmed, DOFort Lee, NJ1093219099
- Rafeeq Ahmed, M.DManahawkin, NJ1740411933
Common questions
What is Chintan Modi, M.D.'s NPI number?
Chintan Modi, M.D.'s National Provider Identifier (NPI) is 1649506932, issued on Oct 21, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Chintan Modi, M.D. located?
The NPPES record lists a practice address at 98 James Street, Edison, NJ, 08820. Phone: (732) 243-9695. Providers update this record themselves, so call before visiting.
How can I verify Chintan Modi, M.D.'s license?
NPPES lists New Jersey license number 25 MA 086 37300, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Chintan Modi, M.D. prescribe under Medicare Part D?
In 2024, Chintan Modi, M.D. had 2,918 Medicare Part D claims for 673 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Chintan Modi, M.D.'s MIPS final score?
The 2023 MIPS final score is 95.5 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.