Prema Modak, MD
Ophthalmology Physician · Fairfax, VA
Prema Modak, MD is an ophthalmology physician with a practice address in Fairfax, Virginia, and NPI 1689894578, issued on Apr 26, 2007. Check the license (Virginia 0101240540, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Prema Modak
- Credential
- MD
- Primary taxonomy
- Ophthalmology Physician 207W00000X
- License numbers
- 0101240540 VA
D0070139 MD
Self-reported in NPPES; status is on the state search - Practice location
- 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033
- Phone
- (571) 349-2191
- Enumerated
- Apr 26, 2007
- Record last updated
- Jul 30, 2019 (not updated in 7 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20110815000539); accepts Medicare assignment
- Medical or professional school
- Rutgers New Jersey Medical School, 2002
- Entity
- Type 1 · individual
8 nearest ophthalmology physician records → All 592 in Virginia → Look up another NPI →
Also registered at 3998 Fair Ridge Dr Ste 105
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kristen Dunbar, MDOphthalmology Physician1124384268
- John Josephson, M.D.Ophthalmology Physician1154588374
- Meghan Moroux, MDOphthalmology Physician1982067112
- Erin Ong, M.D/M.S.Ophthalmology Physician1346773389
- Julia Pierce, ODOptometrist1811425705
- Khushali Shah, MD, MPHCornea and External Diseases Specialist Physician1699352856
Verify Prema Modak in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101240540Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
82% fewer Medicare Part D claims than the average ophthalmology physician in 2024
268 Medicare Part D claims for 66 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 18% of claims.
Most prescribed
- Latanoprost102 claims
- Dorzolamide-Timolol68 claims
- Brimonidine Tartrate27 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): 90.9 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $206.76
8 payments; by number, the most common kind was food and beverage; the largest payer was Bausch & Lomb Americas Inc. The 13,221 providers of this specialty with any payment received $4,535.02 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
- Eye Specialists And Surgeons OF Northern Virginia LLCFairfax, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Prema Modak among 592 ophthalmology physician records in Virginia
Prema Modak, MD is one of 592 ophthalmology physician records with a practice address in Virginia. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 59% of them.
- NPI issued2007 · 59% of these records are older, 32% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated2002 · median 2000 among the 381 with a school on file
- Record last updated2019 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Ophthalmology Physician providers in Virginia
There are 592 ophthalmology physician records in Virginia.
All 592 in Virginia → Every provider in Fairfax → Ophthalmology Physician nationwide →
The 8 ophthalmology physician records with the nearest ZIP codes
- Minh-Phuong Doan, MDFairfax, VA 220331124041942
- Kristen Dunbar, MDFairfax, VA 220331124384268
- Cyrus Golshani, MDFairfax, VA 220331972921864
- John Josephson, M.D.Fairfax, VA 220331154588374
- Katherine McCabe, MDFairfax, VA 220331114313269
- Meghan Moroux, MDFairfax, VA 220331982067112
- Erin Ong, M.D/M.S.Fairfax, VA 220331346773389
- Kevin Scott, M.D.Fairfax, VA 220331962476713
Common questions
What is Prema Modak, MD's NPI number?
Prema Modak, MD's National Provider Identifier (NPI) is 1689894578, issued on Apr 26, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Prema Modak, MD located?
The NPPES record lists a practice address at 3998 Fair Ridge Dr Ste 105, Fairfax, VA, 22033. Phone: (571) 349-2191. Providers update this record themselves, so call before visiting.
How can I verify Prema Modak, MD's license?
NPPES lists Virginia license number 0101240540, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Prema Modak, MD prescribe under Medicare Part D?
In 2024, Prema Modak, MD had 268 Medicare Part D claims for 66 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.
What is Prema Modak, MD's MIPS final score?
The 2023 MIPS final score is 90.9 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.