NPI registry status
Active
2026 NPPES data Geriatric Medicine (Internal Medicine) Physician NPI 1528174943 M.D
Verify on CMS → Mamatha Modem, M.D
Geriatric Medicine (Internal Medicine) Physician in Dallas, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 4,171 in Geriatric Medicine (Internal Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
8K
Medicare Part D claims · 484 beneficiaries · Geriatric Medicine (Internal Medicine) Physician avg: 4K
Generic prescribing
83%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.1/100
▲ 7 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Mamatha Modem, M.D reported a CMS MIPS final score of 90.1/100 - above the 83.1 national average - and filed 8,098 Medicare Part D claims in 2023.
- 90.1/100
- MIPS score · +7 vs avg
- 8K
- Part D claims, 2023
- 83%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Mamatha Modem, M.D's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
90 Top 40% higher than 60% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Mamatha Modem, M.D sits
This provider among geriatric medicine (internal medicine) physician peers
Across the 724 geriatric medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mamatha Modem, M.D writes more Part D claims than 80% of them and scores higher on MIPS quality than 61% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one geriatric medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Mamatha Modem, M.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Mamatha Modem, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Mamatha Modem, M.D?
High performer (top quartile)Primary specialty
Geriatric Medicine (Internal Medicine) Physician
Medicare Part D claims
8,098 82% vs specialty avg
MIPS final score
90.1/100 7 pts vs avg
Specialty distribution in Texas
How Geriatric Medicine (Internal Medicine) Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Mamatha Modem, M.D's 2023 MIPS final score plotted against the Geriatric Medicine (Internal Medicine) Physician national average
- MIPS Final Score
- 90.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Geriatric Medicine (Internal Medicine) Physician) - 90.1/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Mamatha Modem, M.D appears in the CMS NPPES registry as a Geriatric Medicine (Internal Medicine) Physician provider holding M.D credentials at 1400 N WESTMORELAND RD, Dallas, TX, 75211, with a listed phone of (214) 266-0500. NPI 1528174943 was issued on 08/21/2006.
Medicare Part D records for calendar year 2023 show 8,098 prescription claims written by this provider, covering 484 Medicare beneficiaries and totaling roughly $864K in drug spend, split 14% brand-name and 83% generic by claim count, with an opioid prescribing rate of 0.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.1/100 for the 2023 performance year (Quality 85.1, Cost 63.5), compared with the national average of 83.1.
Geriatric Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 4,171 enrolled providers across 52 states and an average of 4,450 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1528174943 |
|---|---|
| Specialty | Geriatric Medicine (Internal Medicine) Physician |
| Credentials | M.D |
| Gender | Female |
| NPI Issued | 08/21/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.1335
Final Score
Avg: 83.1
85.1149
Quality
63.4986
Cost
88
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Mamatha Modem, M.D bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Dallas County Hospital District
Irving, TX
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Mamatha Modem, M.D. To verify Mamatha Modem, M.D's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Mamatha Modem, M.D - brand share 14.0%
Geriatric Medicine (Internal Medicine) Physician average
14% brand-name claims vs 83% generic, on 8,098 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
8,098
Total Claims
$864K
Total Drug Cost
484
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 16,362
- Total Day Supply
- 479,635
- Brand vs Generic
- 14% brand / 83% generic
- Brand Drug Cost
- $710K
- Generic Drug Cost
- $145K
- Opioid Claims
- 66 (0.8% rate)
- Antibiotic Claims
- 77
Patient Demographics
- Average Patient Age
- 66.6 years
- Avg HCC Risk Score
- 1.59
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 132, 65-74: 271, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Mamatha Modem, M.D prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amlodipine Besylate
Amlodipine Besylate
568 claims
- Metformin Hcl
Metformin Hcl
399 claims
- Atorvastatin Calcium
Atorvastatin Calcium
396 claims
- Gabapentin
Gabapentin
333 claims
- Lisinopril
Lisinopril
305 claims
- Simvastatin
Simvastatin
272 claims
- Pantoprazole Sodium
Pantoprazole Sodium
261 claims
- Levothyroxine Sodium
Levothyroxine Sodium
229 claims
| Drug | Claims |
|---|---|
| Amlodipine Besylate | 568 |
| Metformin Hcl | 399 |
| Atorvastatin Calcium | 396 |
| Gabapentin | 333 |
| Lisinopril | 305 |
| Simvastatin | 272 |
| Pantoprazole Sodium | 261 |
| Levothyroxine Sodium | 229 |
| Pravastatin Sodium | 214 |
| Lisinopril-Hydrochlorothiazide Lisinopril/Hydrochlorothiazide | 183 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Geriatric Medicine (Internal Medicine) Physician in TX →
All providers in Texas →
Compare specialties →
Geriatric Medicine (Internal Medicine) Physician Overview
How Mamatha Modem, M.D fits within the Geriatric Medicine (Internal Medicine) Physician landscape nationally.
4,171
Geriatric Medicine (Internal Medicine) Physician Providers in US
52
States with Geriatric Medicine (Internal Medicine) Physician
4,450
Avg Claims per Provider
Mamatha Modem, M.D's 8,098 claims are above the specialty average of 4,450.
Nearby Geriatric Medicine (Internal Medicine) Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Modem.
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Geriatric Medicine (Internal Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Mamatha Modem, M.D's specialty? ▼
Mamatha Modem, M.D specializes in Geriatric Medicine (Internal Medicine) Physician and practices in Dallas, Texas. Credentials: M.D.
How much does Mamatha Modem, M.D prescribe under Medicare Part D? ▼
In 2023, Mamatha Modem, M.D wrote 8,098 Medicare Part D claims totaling $864K in drug costs for 484 beneficiaries.
What is Mamatha Modem, M.D's Medicare quality score? ▼
Mamatha Modem, M.D has a CMS MIPS Final Score of 90.1/100 (Quality: 85.1, Cost: 63.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mamatha Modem, M.D located? ▼
Mamatha Modem, M.D is located at 1400 N WESTMORELAND RD, Dallas, TX, 75211. Phone: (214) 266-0500.
What is Mamatha Modem, M.D's NPI number? ▼
Mamatha Modem, M.D's National Provider Identifier (NPI) is 1528174943, issued on 08/21/2006.
Does Mamatha Modem, M.D prescribe more brand-name or generic drugs? ▼
Mamatha Modem, M.D's prescribing is 14% brand-name and 83% generic drugs by claim count, with $710K in brand drug costs.
Does Mamatha Modem, M.D prescribe opioids? ▼
Yes, Mamatha Modem, M.D had 66 opioid claims in 2023 with an opioid prescribing rate of 0.8%.
How many Geriatric Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 4,171 Geriatric Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Internal Medicine) Physician provider writes 4,450 Medicare Part D claims per year.
What drugs does Mamatha Modem, M.D prescribe most often? ▼
Based on 2023 Medicare Part D data, Mamatha Modem, M.D's most frequently prescribed drugs include Amlodipine Besylate, Metformin Hcl, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mamatha Modem, M.D accept Medicare? ▼
Mamatha Modem, M.D appears in CMS Medicare data with 8,098 Part D claims and 484 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mamatha Modem, M.D's credentials? ▼
Mamatha Modem, M.D's NPI is 1528174943 with credentials M.D. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.