NPPES file of Aug 9, 2026

Pratik Modi, PA-C

Physician Assistant · Augusta, GA

Pratik Modi, PA-C is a physician assistant with a practice address in Augusta, Georgia, and NPI 1992133433, issued on Oct 18, 2013. Check the license (Georgia 006993, as entered in NPPES) with the Georgia board that licenses this profession; 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
1992133433
Name
Pratik Modi
Credential
PA-C
Primary taxonomy
Physician Assistant 363A00000X
License number
006993 GA
Self-reported in NPPES; status is on the state search
Practice location
1120 15TH St, Augusta, GA 30912
Phone
(706) 721-8623
Enumerated
Oct 18, 2013
Record last updated
Nov 15, 2023
Fax
(706) 721-1459
Medicare enrollment
Enrolled (PECOS I20131209000907); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
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 1120 15TH St

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

  1. Megan AbadomUrology Physician1093649022
  2. Rahat AbbasiInternal Medicine Physician1578057261
  3. Matthew Abbott, MDNeurology Physician1417572959
  4. Da'Ad AbdallaPediatrics Physician1841166451
  5. Zahraa Abdul Sater, MBBSEmergency Medicine Physician1467731125
  6. Youmna Abourady, MDPediatrics Physician1144146960

Verify Pratik Modi in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Georgia board licenses this profession
    Search for license 006993
    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
Find 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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54% fewer Medicare Part D claims than the average physician assistant in 2024

378 Medicare Part D claims for 123 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 7% of claims.

  1. Pratik Modi378
  2. Specialty average830

Most prescribed

  1. Carbidopa-Levodopa87 claims
  2. Carbidopa-Levodopa Er36 claims
  3. Donepezil Hcl31 claims
  4. Gabapentin21 claims
  5. Primidone14 claims
  6. Quetiapine Fumarate14 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): 77.8 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 score72.0
  2. Costout of 100 · 30%60.7
  3. Promoting interoperabilityout of 100 · 25%92.0
  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: $1,015.35

51 payments; by number, the most common kind was food and beverage; the largest payer was Neurocrine Biosciences, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Pratik Modi$1,015.35
  2. Specialty average$841.65

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. Wellstar Medical Group LLCAugusta, GA

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

Pratik Modi among 4,662 physician assistant records in Georgia

Pratik Modi, PA-C is one of 4,662 physician assistant records with a practice address in Georgia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 34% of them.

  • NPI issued2013 · 34% of these records are older, 63% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 59% of these records are
  • Graduated2013 · median 2018 among the 2,761 with a school on file
  • Record last updated2023 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

231 physician assistant records list a practice address in Augusta

They are 231 of the 7,009 NPPES records with a practice address in Augusta, and 4,662 physician assistant records in Georgia.

The 8 physician assistant records with the nearest ZIP codes

  1. Janet Barnett, PA-CAugusta, GA 309121083823801
  2. Mark Daniel, PAAugusta, GA 309121225148810
  3. Laura Lee, PA-CAugusta, GA 309121407057516
  4. Shane LindsayAugusta, GA 309121922131382
  5. Audrey Meyer, PA-CAugusta, GA 309121548318983
  6. Jonell Poe, PAAugusta, GA 309121417057977
  7. Kathryn Poehler, PAAugusta, GA 309121861511057
  8. Karen Shellito, PAAugusta, GA 309121720199714

Common questions

What is Pratik Modi, PA-C's NPI number?

Pratik Modi, PA-C's National Provider Identifier (NPI) is 1992133433, issued on Oct 18, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Pratik Modi, PA-C located?

The NPPES record lists a practice address at 1120 15TH St, Augusta, GA, 30912. Phone: (706) 721-8623. Providers update this record themselves, so call before visiting.

How can I verify Pratik Modi, PA-C's license?

NPPES lists Georgia license number 006993, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.

How much does Pratik Modi, PA-C prescribe under Medicare Part D?

In 2024, Pratik Modi, PA-C had 378 Medicare Part D claims for 123 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

What is Pratik Modi, PA-C's MIPS final score?

The 2023 MIPS final score is 77.8 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.