NPPES file of Aug 9, 2026

Monica Nitin Modi

Obstetrics & Gynecology Physician · Gastonia, NC

Monica Nitin Modi is an obstetrics & gynecology physician with a practice address in Gastonia, North Carolina, and NPI 1619116605, issued on Feb 13, 2009. Check the license (North Carolina 2022-01830, as entered in NPPES) on the North Carolina 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
1619116605
Name
Monica Nitin Modi
Primary taxonomy
Obstetrics & Gynecology Physician 207V00000X
License numbers
2022-01830 NC
A150637 CA
Self-reported in NPPES; status is on the state search
Practice location
620 Summit Crossing PL Ste 108A, Gastonia, NC 28054
Phone
(704) 865-7416
Enumerated
Feb 13, 2009
Record last updated
Feb 17, 2026
Fax
(704) 865-2811
Medicare enrollment
Enrolled (PECOS I20220810003218); accepts Medicare assignment
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 620 Summit Crossing PL Ste 108A

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

  1. George Adcock, M.D.Obstetrics & Gynecology Physician1447246228
  2. Monique Goodman, DNP,CNMAdvanced Practice Midwife1841039625
  3. Carolin Haeusler RossavikObstetrics & Gynecology Physician1043710312
  4. Chloe Hamilton, PA-CSurgical Physician Assistant1700577319
  5. Tamara Means, MDObstetrics & Gynecology Physician1154312734
  6. Margaret Monroe, MDObstetrics & Gynecology Physician1851979645

Verify Monica Nitin Modi in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNorth Carolina Medical Board
    Search for license 2022-01830
    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 North Carolina 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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67% fewer Medicare Part D claims than the average obstetrics & gynecology physician in 2024

54 Medicare Part D claims for 27 beneficiaries, against an average of 165 among the 28,733 providers of this specialty who prescribed in Part D.

  1. Monica Modi54
  2. Specialty average165

Most prescribed

  1. Misoprostol12 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): 95.4 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.

  1. Qualityout of 100 · 30% of the final score84.2
  2. Costnot scored (reweighted)
  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; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $252.49

2 payments; by number, the most common kind was food and beverage; the largest payer was Channel Medsystems, Inc. The 21,429 providers of this specialty with any payment received $1,030.61 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Monica Modi$252.49
  2. Specialty average$1,030.61

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

  1. Carolinas Physicians Network IncHarrisburg, NC
  2. Caromont Medical Group IncGastonia, NC

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

Monica Nitin Modi among 1,548 obstetrics & gynecology physician records in North Carolina

Monica Nitin Modi is one of 1,548 obstetrics & gynecology physician records with a practice address in North Carolina. 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 2009, is newer than 61% of them.

  • NPI issued2009 · 61% of these records are older, 36% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated2010 · median 2007 among the 1,043 with a school on file
  • Record last updated2026 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207V00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Obstetrics & Gynecology Physician providers in North Carolina

There are 1,548 obstetrics & gynecology physician records in North Carolina.

The 8 obstetrics & gynecology physician records with the nearest ZIP codes

  1. George Adcock, M.D.Gastonia, NC 280541447246228
  2. Daniel Coty, MDGastonia, NC 280541265468227
  3. Kelvin Harris, MDGastonia, NC 280541114000791
  4. Erin Hartwell, MDGastonia, NC 280541326248345
  5. Vicki Light, MDGastonia, NC 280541366407900
  6. Carmelita Lugue, DOGastonia, NC 280541285848143
  7. Rachael McCabe, MDGastonia, NC 280541366852683
  8. Tamara Means, MDGastonia, NC 280541154312734

Common questions

What is Monica Nitin Modi's NPI number?

Monica Nitin Modi's National Provider Identifier (NPI) is 1619116605, issued on Feb 13, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Monica Nitin Modi located?

The NPPES record lists a practice address at 620 Summit Crossing PL Ste 108A, Gastonia, NC, 28054. Phone: (704) 865-7416. Providers update this record themselves, so call before visiting.

How can I verify Monica Nitin Modi's license?

NPPES lists North Carolina license number 2022-01830, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Monica Nitin Modi prescribe under Medicare Part D?

In 2024, Monica Nitin Modi had 54 Medicare Part D claims for 27 beneficiaries; the average among obstetrics & gynecology physician prescribers was 165. Part D covers Medicare prescriptions only.

What is Monica Nitin Modi's MIPS final score?

The 2023 MIPS final score is 95.4 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.