NPPES file of Aug 9, 2026

Dimple Modi, MD

Retina Specialist (Ophthalmology) Physician · Rome, GA

Dimple Modi, MD is a retina specialist (ophthalmology) physician with a practice address in Rome, Georgia, and NPI 1205032844, issued on Jun 21, 2007. Check the license (Georgia 068678, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1205032844
Name
Dimple Modi
Credential
MD
Primary taxonomy
Retina Specialist (Ophthalmology) Physician 207WX0107X
License number
068678 GA
Self-reported in NPPES; status is on the state search
Practice location
550 Redmond RD NW, Rome, GA 30165
Phone
(762) 235-3200
Enumerated
Jun 21, 2007
Record last updated
Jul 8, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(706) 233-8503
Medicare enrollment
Enrolled (PECOS I20121205000295); accepts Medicare assignment
Medical or professional school
University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb), 2007
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 550 Redmond RD NW

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Whitney Albright, NP-CNurse Practitioner1174158505
  2. Pamela Allen, FNP-BCNurse Practitioner1760859276
  3. Rebeka Ball, FNP-CNurse Practitioner1619790854
  4. Bruce Bell, O. D.Optometrist1093867673
  5. Inga Bennett, NP-CNurse Practitioner1417400318
  6. Jennifer Broome, FNP-BCNurse Practitioner1619500071

Verify Dimple Modi in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersGeorgia Composite Medical Board
    Search for license 068678
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Georgia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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84% fewer Medicare Part D claims than the average retina specialist (ophthalmology) physician in 2024

99 Medicare Part D claims for 46 beneficiaries, against an average of 620 among the 1,449 providers of this specialty who prescribed in Part D. Brand-name drugs were 21% of claims.

  1. Dimple Modi99
  2. Specialty average620

Most prescribed

  1. Latanoprost37 claims
  2. Dorzolamide Hcl11 claims
  3. Prednisolone Acetate11 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 practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costout of 100 · 30%100.0
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $200.27

7 payments; by number, the most common kind was food and beverage; the largest payer was Genentech USA, Inc. The 1,253 providers of this specialty with any payment received $7,667.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Dimple Modi$200.27
  2. Specialty average$7,667.49

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Harbin Clinic LLCRome, GA
  2. Richard Carlin MD PCSnellville, GA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Dimple Modi among 20 retina specialist (ophthalmology) physician records in Georgia

Dimple Modi, MD is one of 20 retina specialist (ophthalmology) physician records with a practice address in Georgia. 90% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 30% of them.

  • NPI issued2007 · 30% of these records are older, 55% newer
  • In a Medicare fileYes · 90% of these records are
  • In the CMS Doctors and Clinicians fileYes · 90% of these records are
  • Graduated2007 · median 2007 among the 18 with a school on file
  • Record last updated2020 · 45% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207WX0107X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Retina Specialist (Ophthalmology) Physician providers in Georgia

There are 20 retina specialist (ophthalmology) physician records in Georgia.

The 8 retina specialist (ophthalmology) physician records with the nearest ZIP codes

  1. Rishi Singhal, M.D.Peachtree Corners, GA 300921427412550
  2. Kareem Sioufi, MDMarietta, GA 300661720579394
  3. William Carroll, MDLoganville, GA 300521891130829
  4. Sruthi Arepalli, M.D.Atlanta, GA 303221659799773
  5. Swetangi Bhaleeya, M.D.Sandy Springs, GA 303281629226782
  6. James Frank, MDAtlanta, GA 303391669436143
  7. David Chin Yee, MDAtlanta, GA 303421740424563
  8. Edwin Donnelly, M.D.Atlanta, GA 303421053315457

Common questions

What is Dimple Modi, MD's NPI number?

Dimple Modi, MD's National Provider Identifier (NPI) is 1205032844, issued on Jun 21, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Dimple Modi, MD located?

The NPPES record lists a practice address at 550 Redmond RD NW, Rome, GA, 30165. Phone: (762) 235-3200. Providers update this record themselves, so call before visiting.

How can I verify Dimple Modi, MD's license?

NPPES lists Georgia license number 068678, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Dimple Modi, MD prescribe under Medicare Part D?

In 2024, Dimple Modi, MD had 99 Medicare Part D claims for 46 beneficiaries; the average among retina specialist (ophthalmology) physician prescribers was 620. Part D covers Medicare prescriptions only.

What is Dimple Modi, MD's MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. 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.