2026 NPPES data Internal Medicine Physician NPI 1699773242 MD
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VAISHALI MODY, MD

Internal Medicine Physician in WARREN, Michigan. 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
413
Medicare Part D claims · 308 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.2646/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$13.45
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

VAISHALI MODY, MD reported a CMS MIPS final score of 77.2646/100 — below the 83.1 national average — and filed 413 Medicare Part D claims in 2023.

77.2646/100
MIPS score · -6 vs avg
413
Part D claims, 2023
95%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

VAISHALI MODY, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

77 24th percentile higher than 24% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

VAISHALI MODY, MD 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).

What does the federal data show about VAISHALI MODY, MD?

Below national average

NPI registry status

Active

Issued 07/08/2005

NPI 1699773242

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

413 85% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

77.2646/100 5.835399999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Internal Medicine Physician compares to other specialties among Michigan providers

Michigan providers

Internal Medicine Physician share within Michigan

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Michigan

Medicare quality performance — MIPS

VAISHALI MODY, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
77.2646/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 77.2646/100 vs national avg 83.1

0%100%National avg83%77.3%
MIPS final score (Internal Medicine Physician) — 77.2646/100 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).

VAISHALI MODY, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 31700 VAN DYKE AVE, WARREN, MI, 48093, with a listed phone of (586) 276-8200. NPI 1699773242 was issued on 07/08/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MODY 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 413 prescription claims written by this provider, covering 308 Medicare beneficiaries and totaling roughly $6K in drug spend, split 5% brand-name and 95% generic by claim count. 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 77.2646/100 for the 2023 performance year (Quality 82.2475, Cost 41.968), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

31700 VAN DYKE AVE
WARREN, MI 48093

Provider Details

NPI 1699773242
Specialty Internal Medicine Physician
Credentials MD
Gender Female
NPI Issued 07/08/2005

CMS Quality Score (MIPS)

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

77.2646
Final Score
Avg: 83.1
82.2475
Quality
41.968
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where VAISHALI MODY, MD 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.

WELLSTREET URGENT CARE OF MICHIGAN
ALLEN PARK, MI

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 VAISHALI MODY, MD. Source: openpaymentsdata.cms.gov.

Total received

$13

Largest payer

Otsuka America Pharmaceutical, 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.

License & disciplinary context — Michigan MI-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 — they are NOT specific to VAISHALI MODY, MD. To verify VAISHALI MODY, MD's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

VAISHALI MODY, MD — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 413 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.

413
Total Claims
$6K
Total Drug Cost
308
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
436
Total Day Supply
5,349
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$1K
Generic Drug Cost
$5K
Antibiotic Claims
170

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.20
Gender Split
65% female / 35% male
Age Distribution
<65: 35, 65-74: 140, 75-84: 107, 85+: 26

Top Prescribed Drugs (Medicare Part D)

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

What VAISHALI MODY, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Cephalexin
37
Prednisone
37
Paxlovid (Eua)
Nirmatrelvir/Ritonavir
29
Amoxicillin
28
Azithromycin
27
Doxycycline Hyclate
27
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
17
Albuterol Sulfate Hfa
Albuterol Sulfate
15
Methylprednisolone
15
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
15

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

Internal Medicine Physician Overview

How VAISHALI MODY, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

VAISHALI MODY, MD's 413 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Michigan

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is VAISHALI MODY, MD's specialty?
VAISHALI MODY, MD specializes in Internal Medicine Physician and practices in WARREN, Michigan. Credentials: MD.
How much does VAISHALI MODY, MD prescribe under Medicare Part D?
In 2023, VAISHALI MODY, MD wrote 413 Medicare Part D claims totaling $6K in drug costs for 308 beneficiaries.
What is VAISHALI MODY, MD's Medicare quality score?
VAISHALI MODY, MD has a CMS MIPS Final Score of 77.2646/100 (Quality: 82.2475, Cost: 41.968). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VAISHALI MODY, MD located?
VAISHALI MODY, MD is located at 31700 VAN DYKE AVE, WARREN, MI, 48093. Phone: (586) 276-8200.
What is VAISHALI MODY, MD's NPI number?
VAISHALI MODY, MD's National Provider Identifier (NPI) is 1699773242, issued on 07/08/2005.
Does VAISHALI MODY, MD prescribe more brand-name or generic drugs?
VAISHALI MODY, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $1K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does VAISHALI MODY, MD prescribe most often?
Based on 2023 Medicare Part D data, VAISHALI MODY, MD's most frequently prescribed drugs include Cephalexin, Prednisone, Paxlovid (Eua). This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VAISHALI MODY, MD accept Medicare?
VAISHALI MODY, MD appears in CMS Medicare data with 413 Part D claims and 308 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VAISHALI MODY, MD's credentials?
VAISHALI MODY, MD's NPI is 1699773242 with credentials MD. 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