Fagunkumar Modi, MD
Pulmonary Disease Physician · Crystal River, FL
Fagunkumar Modi, MD is a pulmonary disease physician with a practice address in Crystal River, Florida, and NPI 1619117421, issued on Mar 6, 2009. Check the license (Florida ME120896, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Fagunkumar Modi
- Credential
- MD
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- ME120896 FL
Self-reported in NPPES; status is on the state search - Practice location
- 1550 N Shockley Loop, Crystal River, FL 34429
- Phone
- (352) 795-1999
- Enumerated
- Mar 6, 2009
- Record last updated
- Mar 25, 2026
- Fax
- (352) 795-2269
- Medicare enrollment
- Enrolled (PECOS I20150806011203); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 1,045 in Florida → Look up another NPI →
Also registered at 1550 N Shockley Loop
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sunoj Abraham, MDPulmonary Disease Physician1194790857
- Klaudio Alla, MDPulmonary Disease Physician1659991040
- Oliver Sevilla, MDPulmonary Disease Physician1871567669
- Gaurav Shah, M.D.Pulmonary Disease Physician1962727453
- Vikram Shah, MDPulmonary Disease Physician1326013079
Verify Fagunkumar Modi in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license ME120896Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
15% more Medicare Part D claims than the average pulmonary disease physician in 2024
1,635 Medicare Part D claims for 415 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. 42 claims were for opioids.
Most prescribed
- Trelegy Ellipta235 claims
- Albuterol Sulfate Hfa140 claims
- Azithromycin77 claims
- Methylprednisolone67 claims
- Breztri Aerosphere65 claims
- Levothyroxine Sodium52 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $359.40
14 payments; by number, the most common kind was food and beverage; the largest payer was Takeda Pharmaceuticals U.S.A., Inc. The 8,806 providers of this specialty with any payment received $5,159.88 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 2 group practices
- Legacy Healthcare Services IncThe Villages, FL
- Manoj B Shukla MD PACrystal River, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Fagunkumar Modi among 1,045 pulmonary disease physician records in Florida
Fagunkumar Modi, MD is one of 1,045 pulmonary disease physician records with a practice address in Florida. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 69% of them.
- NPI issued2009 · 69% of these records are older, 29% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 76% of these records are
- Graduated2003 · median 1999 among the 790 with a school on file
- Record last updated2026 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
8 pulmonary disease physician records list a practice address in Crystal River
They are 8 of the 437 NPPES records with a practice address in Crystal River, and 1,045 pulmonary disease physician records in Florida.
All 1,045 in Florida → Every provider in Crystal River → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Mahrous Abo-Hassan, MDCrystal River, FL 344291114335023
- Sunoj Abraham, MDCrystal River, FL 344291194790857
- Klaudio Alla, MDCrystal River, FL 344291659991040
- Oliver Sevilla, MDCrystal River, FL 344291871567669
- Vikram Shah, MDCrystal River, FL 344291326013079
- Gaurav Shah, M.D.Crystal River, FL 344291962727453
- Enrique Velazquez, M.D.Crystal River, FL 344291992806095
- Velukutty Balakrishnan, M.D.Inverness, FL 344501588769350
Common questions
What is Fagunkumar Modi, MD's NPI number?
Fagunkumar Modi, MD's National Provider Identifier (NPI) is 1619117421, issued on Mar 6, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Fagunkumar Modi, MD located?
The NPPES record lists a practice address at 1550 N Shockley Loop, Crystal River, FL, 34429. Phone: (352) 795-1999. Providers update this record themselves, so call before visiting.
How can I verify Fagunkumar Modi, MD's license?
NPPES lists Florida license number ME120896, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Fagunkumar Modi, MD prescribe under Medicare Part D?
In 2024, Fagunkumar Modi, MD had 1,635 Medicare Part D claims for 415 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Fagunkumar 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.