Jignesh Modi, M.D.
Infectious Disease Physician · Decatur, IL
Jignesh Modi, M.D. is an infectious disease physician with a practice address in Decatur, Illinois, and NPI 1184935074, issued on Jun 25, 2010. Check the license (Illinois 036.125721, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Jignesh Modi
- Credential
- M.D.
- Primary taxonomy
- Infectious Disease Physician 207RI0200X
- License number
- 036.125721 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1730 E Lake Shore Dr, Decatur, IL 62521
- Phone
- (217) 329-1000
- Enumerated
- Jun 25, 2010
- Record last updated
- Jan 6, 2022
- Fax
- (217) 545-0825
- Medicare enrollment
- Enrolled (PECOS I20120725000338); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest infectious disease physician records → All 464 in Illinois → Look up another NPI →
Also registered at 1730 E Lake Shore Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Leslie Anewenah, MDSurgery Physician1508110198
- Richard Dilorenzo, DOGastroenterology Physician1528090164
- Lindsay HendersonFamily Nurse Practitioner1649152430
- Khondker Islam, MDGastroenterology Physician1568441855
- Manoj Kohli, MDRheumatology Physician1215948146
- Danxuan Long, MDPulmonary Disease Physician1205098738
Verify Jignesh Modi in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036.125721Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.4 times the Medicare Part D claims of the average infectious disease physician in 2024
1,642 Medicare Part D claims for 258 beneficiaries, against an average of 689 among the 7,388 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims.
Most prescribed
- Vancomycin Hcl238 claims
- Ceftriaxone214 claims
- Doxycycline Hyclate130 claims
- Daptomycin128 claims
- Sulfamethoxazole-Trimethoprim117 claims
- Cephalexin79 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): 94.6 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: $58.56
3 payments; by number, the most common kind was food and beverage; the largest payer was Csl Behring. The 3,895 providers of this specialty with any payment received $4,362.19 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
- Hshs Medical Group IncO Fallon, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jignesh Modi among 464 infectious disease physician records in Illinois
Jignesh Modi, M.D. is one of 464 infectious disease physician records with a practice address in Illinois. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 61% of them.
- NPI issued2010 · 61% of these records are older, 34% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated2003 · median 2004 among the 311 with a school on file
- Record last updated2022 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RI0200X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Infectious Disease Physician providers in Illinois
There are 464 infectious disease physician records in Illinois.
All 464 in Illinois → Every provider in Decatur → Infectious Disease Physician nationwide →
The 8 infectious disease physician records with the nearest ZIP codes
- Omar Al-Heeti, MDDecatur, IL 625261083903645
- Douglas Leigh, M.D.Springfield, IL 627011265530455
- Praveen Mullangi, M.D.Springfield, IL 627011508056987
- Steven O'Marro, M.D.Springfield, IL 627011467552133
- Zainab AlnafoosiSpringfield, IL 627021124401070
- Lyndsey Heise, M.D.Springfield, IL 627021700268216
- Afshan Iqbal, MDSpringfield, IL 627021598241226
- Ahmed Khan, MBBS, MDSpringfield, IL 627021861947871
Common questions
What is Jignesh Modi, M.D.'s NPI number?
Jignesh Modi, M.D.'s National Provider Identifier (NPI) is 1184935074, issued on Jun 25, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Jignesh Modi, M.D. located?
The NPPES record lists a practice address at 1730 E Lake Shore Dr, Decatur, IL, 62521. Phone: (217) 329-1000. Providers update this record themselves, so call before visiting.
How can I verify Jignesh Modi, M.D.'s license?
NPPES lists Illinois license number 036.125721, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Jignesh Modi, M.D. prescribe under Medicare Part D?
In 2024, Jignesh Modi, M.D. had 1,642 Medicare Part D claims for 258 beneficiaries; the average among infectious disease physician prescribers was 689. Part D covers Medicare prescriptions only.
What is Jignesh Modi, M.D.'s MIPS final score?
The 2023 MIPS final score is 94.6 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.