NPPES file of Aug 9, 2026

Jay Modi, DO

Hospitalist Physician · Athens, GA

Jay Modi, DO is a hospitalist physician with a practice address in Athens, Georgia, and NPI 1801327804, issued on Mar 22, 2017. Check the license (Georgia 85513, 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
1801327804
Name
Jay Modi
Credential
DO
Primary taxonomy
Hospitalist Physician 208M00000X
License number
85513 GA
Self-reported in NPPES; status is on the state search
Practice location
1199 Prince Ave, Athens, GA 30606
Phone
(706) 475-5076
Enumerated
Mar 22, 2017
Record last updated
Aug 1, 2022
Medicare enrollment
Enrolled (PECOS I20200708001737); accepts Medicare assignment
Medical or professional school
Lincoln Memorial University Medical Department, 2017
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 1199 Prince Ave

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

  1. Ibipo Abdurraheem-Salami, MDInternal Medicine Physician1962024323
  2. Sarah Adams, PHARMDPharmacist1548102742
  3. Eric Afari, MDInternal Medicine Physician1215399068
  4. Fakhar Ahmad, M.D.Hospitalist Physician1295781094
  5. Mohammad Ahmad, FNPFamily Nurse Practitioner1588315667
  6. Thomas Aiken, M.D.Emergency Medicine Physician1598127979

Verify Jay 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 85513
    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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2% more Medicare Part D claims than the average hospitalist physician in 2024

529 Medicare Part D claims for 234 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims. 21 claims were for opioids.

  1. Jay Modi529
  2. Specialty average521

Most prescribed

  1. Prednisone30 claims
  2. Amoxicillin-Clavulanate Potass27 claims
  3. Eliquis25 claims
  4. Pantoprazole Sodium23 claims
  5. Losartan Potassium17 claims
  6. Metoprolol Succinate17 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): 78.4 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 score58.7
  2. Costout of 100 · 30%66.2
  3. Promoting interoperabilityout of 100 · 25%100.0
  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: $30.50

1 payment: food and beverage; the largest payer was Janssen Pharmaceuticals, Inc. The 7,324 providers of this specialty with any payment received $494.84 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Jay Modi$30.50
  2. Specialty average$494.84

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

  1. Piedmont Hospitalist Physicians LLCAtlanta, GA

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

Jay Modi among 967 hospitalist physician records in Georgia

Jay Modi, DO is one of 967 hospitalist physician records with a practice address in Georgia. 92% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 79% of them.

  • NPI issued2017 · 79% of these records are older, 17% newer
  • In a Medicare fileYes · 92% of these records are
  • In the CMS Doctors and Clinicians fileYes · 88% of these records are
  • Graduated2017 · median 2008 among the 849 with a school on file
  • Record last updated2022 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

49 hospitalist physician records list a practice address in Athens

They are 49 of the 3,160 NPPES records with a practice address in Athens, and 967 hospitalist physician records in Georgia.

The 8 hospitalist physician records with the nearest ZIP codes

  1. Fakhar Ahmad, M.D.Athens, GA 306061295781094
  2. George Dasoveanu, MDAthens, GA 306061558310334
  3. Sharif Elkabbani, MDAthens, GA 306061598883928
  4. Tiffanni Forbes, M.D.Athens, GA 306061205932753
  5. Lisa Fowlkes, MDAthens, GA 306061871504100
  6. Monisha Garg, M.D.Athens, GA 306061710106141
  7. Brendan Groarke, D.O.Athens, GA 306061316041783
  8. Chris Hall, MDAthens, GA 306061083625131

Common questions

What is Jay Modi, DO's NPI number?

Jay Modi, DO's National Provider Identifier (NPI) is 1801327804, issued on Mar 22, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Jay Modi, DO located?

The NPPES record lists a practice address at 1199 Prince Ave, Athens, GA, 30606. Phone: (706) 475-5076. Providers update this record themselves, so call before visiting.

How can I verify Jay Modi, DO's license?

NPPES lists Georgia license number 85513, 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 Jay Modi, DO prescribe under Medicare Part D?

In 2024, Jay Modi, DO had 529 Medicare Part D claims for 234 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.

What is Jay Modi, DO's MIPS final score?

The 2023 MIPS final score is 78.4 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.