Hemant Modi
Cardiovascular Disease Physician · Parkersburg, WV
Hemant Modi is a cardiovascular disease physician with a practice address in Parkersburg, West Virginia, and NPI 1033186267, issued on Mar 7, 2006. Check the license (West Virginia 15836, as entered in NPPES) on the West Virginia Board of Medicine; the Medicare figures below come from public CMS files.
- Name
- Hemant Modi
- Primary taxonomy
- Cardiovascular Disease Physician 207RC0000X
- License number
- 15836 WV
Self-reported in NPPES; status is on the state search - Practice location
- 600 18TH St, Parkersburg, WV 26101
- Phone
- (304) 424-4574
- Enumerated
- Mar 7, 2006
- Record last updated
- Apr 18, 2022
- Fax
- (304) 424-4429
- Medicaid ID
- 0072410000 WV
- Medicare enrollment
- Enrolled (PECOS I20100909000985); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest cardiovascular disease physician records → All 111 in West Virginia → Look up another NPI →
Also registered at 600 18TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Miniya Berhane, M.D.Pediatrics Physician1053377366
- Gurpreet Brar, MDRheumatology Physician1417913435
- Patricia Cabaniss, M.D.Obstetrics & Gynecology Physician1265400766
- Catherine Church, NPFamily Nurse Practitioner1649466616
- Nicholas Franklin, DOStudent in an Organized Health Care Education/Training Program1710371422
- David GnegyCardiovascular Disease Physician1174591192
Verify Hemant Modi in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWest Virginia Board of Medicine
Search for license 15836Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.5 times the Medicare Part D claims of the average cardiovascular disease physician in 2024
7,637 Medicare Part D claims for 1,737 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 20% of claims.
Most prescribed
- Eliquis737 claims
- Metoprolol Succinate599 claims
- Atorvastatin Calcium589 claims
- Amlodipine Besylate409 claims
- Isosorbide Mononitrate Er389 claims
- Clopidogrel362 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): 94.1 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: $200.73
12 payments; by number, the most common kind was food and beverage; the largest payer was Novartis Pharmaceuticals Corporation. The 16,686 providers of this specialty with any payment received $3,819.56 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
- Camden-Clark Physician CorporationParkersburg, WV
- Community Health AssociationRipley, WV
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Hemant Modi among 111 cardiovascular disease physician records in West Virginia
Hemant Modi is one of 111 cardiovascular disease physician records with a practice address in West Virginia. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 14% of them.
- NPI issued2006 · 14% of these records are older, 33% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated1982 · median 1994 among the 71 with a school on file
- Record last updated2022 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a West Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Cardiovascular Disease Physician providers in West Virginia
There are 111 cardiovascular disease physician records in West Virginia.
All 111 in West Virginia → Every provider in Parkersburg → Cardiovascular Disease Physician nationwide →
The 8 cardiovascular disease physician records with the nearest ZIP codes
- David GnegyParkersburg, WV 261011174591192
- John Mason, MDParkersburg, WV 261011447464789
- Getachew Zeleke, MDParkersburg, WV 261011669792024
- Maninder Bedi, MDWeirton, WV 260621003851213
- Daniel Jovanovich, MDWeirton, WV 260621336105949
- Jasbir Makar, MDWeirton, WV 260621235124975
- Stanley Mannino, M.D.Weirton, WV 260621487645727
- Dakshina Murthy, MDNew Martinsville, WV 261551801895016
Common questions
What is Hemant Modi's NPI number?
Hemant Modi's National Provider Identifier (NPI) is 1033186267, issued on Mar 7, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Hemant Modi located?
The NPPES record lists a practice address at 600 18TH St, Parkersburg, WV, 26101. Phone: (304) 424-4574. Providers update this record themselves, so call before visiting.
How can I verify Hemant Modi's license?
NPPES lists West Virginia license number 15836, as entered by the provider. Search the West Virginia Board of Medicine at https://wvbom.wv.gov/public/search/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Hemant Modi prescribe under Medicare Part D?
In 2024, Hemant Modi had 7,637 Medicare Part D claims for 1,737 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.
What is Hemant Modi's MIPS final score?
The 2023 MIPS final score is 94.1 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.