2026 NPPES data Hematology & Oncology Physician NPI 1912245267 M.D.
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TEJAS MODI, M.D.

Hematology & Oncology Physician in MADISONVILLE, Kentucky. 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
2K
Medicare Part D claims · 264 beneficiaries · Hematology & Oncology Physician avg: 847
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.5077/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$403.45
20 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TEJAS MODI, M.D. is a Hematology & Oncology Physician ([object Object]) practicing in MADISONVILLE, Kentucky with a Medicare Part D prescribing footprint of 2K claims across 264 beneficiaries — 19% brand-name prescribing . Their CMS MIPS Final Score of 95.5077/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $403.45 across 20 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TEJAS MODI, M.D. reported a CMS MIPS final score of 95.5077 out of 100, above the 83.1 national average, and filed 1,602 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)

TEJAS MODI, 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).

TEJAS MODI, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/22/2013

NPI 1912245267

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

1,602 89% vs specialty avg

2023 prescription claims

Specialty avg: 847

MIPS final score

95.5077/100 12.407700000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Hematology & Oncology Physician compares to other specialties among Kentucky providers

Kentucky providers

Hematology & Oncology Physician share within Kentucky

1. Hematology & Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology & Oncology Physician share within Kentucky

Medicare quality performance — MIPS

TEJAS MODI, M.D.'s 2023 MIPS final score plotted against the Hematology & Oncology Physician national average

High performer (top quartile)
MIPS Final Score
95.5077/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology & Oncology Physician) — 95.5077/100 vs national avg 83.1

0%100%National avg83%95.5%
MIPS final score (Hematology & Oncology Physician) — 95.5077/100 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).

TEJAS MODI, M.D. is a Hematology & Oncology Physician provider practicing in MADISONVILLE, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1912245267. 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.

TEJAS MODI, M.D. appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding M.D. credentials at 900 HOSPITAL DR, MADISONVILLE, KY, 42431, with a listed phone of (270) 825-5800. NPI 1912245267 was issued on 01/22/2013. 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 1,602 prescription claims written by this provider, covering 264 Medicare beneficiaries and totaling roughly $3.6 million in drug spend, split 19% brand-name and 81% generic by claim count, with an opioid prescribing rate of 9.5%. 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 95.5077/100 for the 2023 performance year (Quality 89.5953), compared with the national average of 83.1.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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

900 HOSPITAL DR
MADISONVILLE, KY 42431

Provider Details

NPI 1912245267
Specialty Hematology & Oncology Physician
Credentials M.D.
Gender Male
NPI Issued 01/22/2013

CMS Quality Score (MIPS)

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

95.5077
Final Score
Avg: 83.1
89.5953
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where TEJAS MODI, 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.

BAPTIST HEALTH DEACONESS MEDICAL GROUP INC
MADISONVILLE, KY

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 TEJAS MODI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$403

Largest payer

AstraZeneca Pharmaceuticals LP

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.

Brand vs generic prescribing mix · Typical

TEJAS MODI, M.D. — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 1,602 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.

1,602
Total Claims
$3.6M
Total Drug Cost
264
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,087
Total Day Supply
53,462
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$3.4M
Generic Drug Cost
$173K
Opioid Claims
152 (9.5% rate)
Antibiotic Claims
51

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
2.23
Gender Split
60% female / 40% male
Age Distribution
<65: 37, 65-74: 125, 75-84: 86, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ondansetron Hcl
135
Anastrozole
108
Potassium Chloride
93
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
64
Hydroxyurea
64
Calquence
Acalabrutinib Maleate
63
Tamoxifen Citrate
60
Olanzapine
53
Folic Acid
51
Morphine Sulfate Er
Morphine Sulfate
49

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

Hematology & Oncology Physician Overview

How TEJAS MODI, M.D. fits within the Hematology & Oncology Physician landscape nationally.

11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider

TEJAS MODI, M.D.'s 1,602 claims are above the specialty average of 847.

Nearby Hematology & Oncology Physician Providers in Kentucky

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

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TEJAS MODI, M.D.'s specialty?
TEJAS MODI, M.D. specializes in Hematology & Oncology Physician and practices in MADISONVILLE, Kentucky. Credentials: M.D..
How much does TEJAS MODI, M.D. prescribe under Medicare Part D?
In 2023, TEJAS MODI, M.D. wrote 1,602 Medicare Part D claims totaling $3.6M in drug costs for 264 beneficiaries.
What is TEJAS MODI, M.D.'s Medicare quality score?
TEJAS MODI, M.D. has a CMS MIPS Final Score of 95.5077/100 (Quality: 89.5953). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TEJAS MODI, M.D. located?
TEJAS MODI, M.D. is located at 900 HOSPITAL DR, MADISONVILLE, KY, 42431. Phone: (270) 825-5800.
What is TEJAS MODI, M.D.'s NPI number?
TEJAS MODI, M.D.'s National Provider Identifier (NPI) is 1912245267, issued on 01/22/2013.
Does TEJAS MODI, M.D. prescribe more brand-name or generic drugs?
TEJAS MODI, M.D.'s prescribing is 19% brand-name and 81% generic drugs by claim count, with $3.4M in brand drug costs.
Does TEJAS MODI, M.D. prescribe opioids?
Yes, TEJAS MODI, M.D. had 152 opioid claims in 2023 with an opioid prescribing rate of 9.5%.
How many Hematology & Oncology Physician providers are there in the US?
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does TEJAS MODI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, TEJAS MODI, M.D.'s most frequently prescribed drugs include Ondansetron Hcl, Anastrozole, Potassium Chloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TEJAS MODI, M.D. accept Medicare?
TEJAS MODI, M.D. appears in CMS Medicare data with 1,602 Part D claims and 264 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TEJAS MODI, M.D.'s credentials?
TEJAS MODI, M.D.'s NPI is 1912245267 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

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