2026 NPPES data Obstetrics Physician NPI 1619116605
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MONICA MODI

Obstetrics Physician in GASTONIA, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
54
Medicare Part D claims · 22 beneficiaries · Obstetrics Physician avg: 319
MIPS score
95.3578/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$252.49
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MONICA MODI is a Obstetrics Physician ([object Object]) practicing in GASTONIA, North Carolina with a Medicare Part D prescribing footprint of 54 claims across 22 beneficiaries . Their CMS MIPS Final Score of 95.3578/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $252.49 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MONICA MODI reported a CMS MIPS final score of 95.3578 out of 100, above the 83.1 national average, and filed 54 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MONICA MODI 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).

MONICA MODI at a glance

High performer (top quartile)

NPI registry status

Active

Issued 02/13/2009

NPI 1619116605

Primary specialty

Obstetrics Physician

Niche

1,402 US NPIs in this specialty

Medicare Part D claims

54 83% vs specialty avg

2023 prescription claims

Specialty avg: 319

MIPS final score

95.3578/100 12.257800000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Obstetrics Physician compares to other specialties among North Carolina providers

North Carolina providers

Obstetrics Physician share within North Carolina

1. Obstetrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics Physician share within North Carolina

Medicare quality performance — MIPS

MONICA MODI's 2023 MIPS final score plotted against the Obstetrics Physician national average

High performer (top quartile)
MIPS Final Score
95.3578/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics Physician) — 95.3578/100 vs national avg 83.1

0%100%National avg83%95.4%
MIPS final score (Obstetrics Physician) — 95.3578/100 vs national avg 83.1

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).

MONICA MODI is a Obstetrics Physician provider practicing in GASTONIA, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1619116605. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MONICA MODI appears in the CMS NPPES registry as a Obstetrics Physician provider at 620 SUMMIT CROSSING PL STE 108A, GASTONIA, NC, 28054, with a listed phone of (704) 865-7416. NPI 1619116605 was issued on 02/13/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MODI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 54 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $3K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.3578/100 for the 2023 performance year (Quality 84.2235), compared with the national average of 83.1.

Obstetrics Physician is a narrow specialty nationwide, with 1,402 enrolled providers across 54 states and an average of 319 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

620 SUMMIT CROSSING PL STE 108A
GASTONIA, NC 28054

Provider Details

NPI 1619116605
Specialty Obstetrics Physician
Gender Female
NPI Issued 02/13/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

95.3578
Final Score
Avg: 83.1
84.2235
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MONICA MODI 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.

CAROLINAS PHYSICIANS NETWORK INC
HARRISBURG, NC

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MONICA MODI. Source: openpaymentsdata.cms.gov.

Total received

$252

Largest payer

Channel Medsystems, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

54
Total Claims
$3K
Total Drug Cost
22
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
77
Total Day Supply
1,794
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
58.4 years
Avg HCC Risk Score
1.33
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Estradiol
18

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Obstetrics Physician Overview

How MONICA MODI fits within the Obstetrics Physician landscape nationally.

1,402
Obstetrics Physician Providers in US
54
States with Obstetrics Physician
319
Avg Claims per Provider

MONICA MODI's 54 claims are below the specialty average of 319.

Nearby Obstetrics Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as MODI.

Compare Obstetrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MONICA MODI's specialty?
MONICA MODI specializes in Obstetrics Physician and practices in GASTONIA, North Carolina.
How much does MONICA MODI prescribe under Medicare Part D?
In 2023, MONICA MODI wrote 54 Medicare Part D claims totaling $3K in drug costs for 22 beneficiaries.
What is MONICA MODI's Medicare quality score?
MONICA MODI has a CMS MIPS Final Score of 95.3578/100 (Quality: 84.2235). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MONICA MODI located?
MONICA MODI is located at 620 SUMMIT CROSSING PL STE 108A, GASTONIA, NC, 28054. Phone: (704) 865-7416.
What is MONICA MODI's NPI number?
MONICA MODI's National Provider Identifier (NPI) is 1619116605, issued on 02/13/2009.
How many Obstetrics Physician providers are there in the US?
There are 1,402 Obstetrics Physician providers across 54 states in the US. The average Obstetrics Physician provider writes 319 Medicare Part D claims per year.
What drugs does MONICA MODI prescribe most often?
Based on 2023 Medicare Part D data, MONICA MODI's most frequently prescribed drugs include Estradiol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MONICA MODI accept Medicare?
MONICA MODI appears in CMS Medicare data with 54 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MONICA MODI's credentials?
MONICA MODI's NPI is 1619116605. 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

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