Dr. Tushar R. Modi, MD

  • Modesto, CA
  • Internist
NPI1679551352PAC ID3971647488
Medicare services, 2024
6,939
Medicare patients, 2024
585
Part D claims, 2024
25,617
Hospital affiliations
5
Industry payments
$1,319
Practice address
413 E Orangeburg Ave Ste A, Modesto, CA 95350-5369
Practice phone
Call (209) 529-9600
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Tushar R Modi MD Inc

Physician office · Modesto, California

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Dr. Tushar R. Modi is an internist in Modesto, California

Dr. Modi practices at Tushar R Modi MD Inc in Modesto, California.

Dr. Modi's NPI, 1679551352, was assigned on January 4, 2006. Dr. Modi graduated from Baroda Medical College in 1981. Dr. Modi's California license number on file is A447380.

NPI and contact details
Medicare PAC ID
3971647488
NPI enumeration date
January 4, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(209) 529-9600
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
71
Medical school graduation
1981

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Tushar R. Modi practices at Tushar R Modi MD Inc in Modesto, California

Dr. Modi's primary practice is Tushar R Modi MD Inc, at 413 E Orangeburg Ave Ste A, Modesto, CA 95350-5369. The practice phone is (209) 529-9600.

  • Tushar R Modi MD Inc
    413 E Orangeburg Ave Ste A, Modesto, CA 95350-5369Phone(209) 529-9600

Source: Dmand AI Affiliation Data

Dr. Tushar R. Modi is affiliated with 10 sites of care

Dr. Modi's primary practice is Tushar R Modi MD Inc in Modesto, California. Dr. Modi is also affiliated with Memorial Medical Center. Dmand AI also links Dr. Modi to 4 more hospitals and 4 home health agencies, each named with a free account.

See all 10 affiliations for Dr. Modi

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Tushar R. Modi's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Modi practices, 10 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Tushar R Modi MD IncAvailable with a free account
+9 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Dr. Tushar R. Modi is one of 16,751 internists in California

Internal medicine is Dr. Modi's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Modi is board certified in geriatric medicine by the American Board of Internal Medicine. Dmand AI has Dr. Modi's licenses on file in 3 states: California, Florida and Georgia.

Specialties and state licenses

  • Internal medicine, CaliforniaPrimaryLicense A447380 · 1988 to 2025 · taxonomy 207R00000X
  • Florida licenseSince 1988
  • Georgia license1989

Clinical focus

Dmand AI lists acid reflux, acute gallbladder or bile duct inflammation, acute kidney failure, acute sinusitis, acute skin infection, alzheimer's disease, aneurysm and ankle or foot injury among the conditions Dr. Modi treats.

Internists near Dr. Modi

Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Tushar R. Modi billed Medicare for 6,939 services in 2024

CMS data shows 6,939 Medicare services from Dr. Modi across 36 procedure codes in 2024, for 585 Medicare patients. Medicare paid $305,783 for them. Every service was in an office.

Medicare services, 20246,939
Medicare patients585
Paid by Medicare$305,783
Procedure codes36

Dr. Modi's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 4,0072024: 2,83729%
Other services
2023: 2,0042024: 2,70835%
Drugs given in the office
2023: 1702024: 739335%
Tests and treatments
2023: 4512024: 4099%
Surgery
2023: 4242024: 24642%

Dr. Modi compared with the California median for internists, 2024

  • Dr. Modi
  • California median
Medicare services
6,939vs 36119.2 times
Medicare patients
585vs 1513.9 times
Part D claims
24,916vs 42159.2 times

Medians across 15,815 internists in California with Dmand AI profiles that report each measure.

Dr. Modi's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Modi

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Modi and other internists in California.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Tushar R. Modi treated 585 Medicare patients in 2024, average age 78

CMS counts 585 Medicare patients who saw Dr. Modi in 2024. The largest group is 75 to 84, with 248 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 4% are also on Medicaid. Their average risk score is 1.34, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Modi's median patient age at 75, with 52% women.

Medicare patients, 2024585
Average age78
Average risk score1.34
Also on Medicaid4%

Dr. Modi's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Modi's Medicare patients by sex, 2024

  • Women32856%
  • Men25744%

Chronic conditions among Dr. Modi's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis50%
  4. Diabetes34%
  5. Mood disorders33%
  6. Chronic kidney disease31%
  7. Depression31%
  8. Ischemic heart disease29%

Share of Medicare patients with each condition. A patient can have several.

Dr. Modi's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 75

Patient panel by sex, all payers

  • Women52%
  • Men47%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Tushar R. Modi wrote 25,617 Medicare Part D claims in 2024

In 2024, Dr. Modi wrote 25,617 Medicare Part D claims for 1,217 patients. 89% of them were for generic drugs. CMS names the drug for 24,916 of them, across 218 drugs with 11 or more claims each, at $1,902,242 in total drug cost. In 2023, CMS named 23,828 claims across 217 drugs.

Part D claims, 202425,617
Drugs named by CMS218
Total drug cost$1.9M
Part D patients1,217

Dr. Modi's Part D claims by kind of drug, 2024

  • Generic22,672 claims89%
  • Brand-name2,729 claims11%
  • Other216 claims1%

Dr. Modi's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Modi's Part D claims, 2024

  • Opioids1%325 of 25,617 claims
  • Antibiotics5%1,312 of 25,617 claims
  • Antipsychotics, patients 65 and over2%409 of 25,617 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 23,8282024: 24,9165%

Drugs named by CMS: 218 in 2024, 217 in 2023.

See all prescribing by Dr. Modi

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Tushar R. Modi ranks in the 77th percentile for removal of skin lesions in Medicare

Dr. Modi accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Modi as offering telehealth. CMS counts 136 procedures of removal of skin lesions by Dr. Modi, more than 77% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Where Dr. Modi ranks in Medicare procedure volume

Removal of skin lesions
77th percentile136 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Melanoma (skin cancer) excision: 1 to 10 procedures (CMS shows small counts as a range)

Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)

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Dr. Tushar R. Modi received $1,319 in industry payments from 2016 to 2025

CMS Open Payments shows 39 general payments to Dr. Modi from 12 drug and device companies from 2016 to 2025. Education make up the largest share, 53% of the total. Astellas Pharma US Inc paid the most, $617. It also lists 1 research payment totaling $50 in 2017.

General payments to Dr. Modi by program year, 2016 to 2025

General payments to Dr. Modi by kind, 2016 to 2025

$1.3Kin total
  • Education$70553%
  • Food and beverage$40431%
  • Speaker and faculty fees$13010%
  • Device or supply loans$504%
  • Consulting fees$302%

Companies that paid Dr. Modi the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Modi

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Tushar R. Modi has 1 award and honors on record

Dmand AI lists 1 award for Dr. Modi, most recently CMS Stage 1 EHR in 2013.

Awards and honors for Dr. Modi

  1. 2013
    • CMS Stage 1 EHR

Source: Dmand AI Professional Profile Data

Dr. Tushar R. Modi graduated from Baroda Medical College

Dr. Modi graduated from Baroda Medical College in 1981. Dr. Modi is a member of ACP.

  1. Medical schoolBaroda Medical College
  2. Board certified in geriatric medicineAmerican Board of Internal Medicine
  3. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Tushar R. Modi accepts plans from 7 insurance carriers

Dr. Modi is in network with 7 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 5. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Regence Health Plans
  • CMS Medicare
  • Humana

Plan types Dr. Modi accepts, by number of carriers

  1. Medicare5
  2. PPO5
  3. HMO3
  4. POS2
  5. EPO1

Source: Dmand AI Insurance Network Data

Sources for Dr. Tushar R. Modi's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Tushar R. Modi

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Tushar R. Modi's NPI number?

Dr. Tushar R. Modi's NPI number is 1679551352. It was assigned on January 4, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Tushar R. Modi?

Dr. Tushar R. Modi is an internist in Modesto, California. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).

Where does Dr. Tushar R. Modi practice?

Dr. Modi practices at 413 E Orangeburg Ave Ste A, Modesto, CA 95350-5369. Dr. Modi's primary practice is Tushar R Modi MD Inc in Modesto, California. Dmand AI also links Dr. Modi to 4 hospitals and 4 home health agencies.

What is Dr. Tushar R. Modi's office phone number?

The practice phone on file for Dr. Modi is (209) 529-9600.

What is Dr. Tushar R. Modi's medical license number?

Dr. Modi's California license number on file is A447380, one of the licenses on file in 3 states.

Which states has Dr. Tushar R. Modi been licensed in?

Dmand AI has state licenses on file for Dr. Modi in California (1988 to 2025), Florida (since 1988) and Georgia (1989).

Which hospitals is Dr. Tushar R. Modi affiliated with?

Dr. Modi is affiliated with Memorial Medical Center. Dmand AI links Dr. Modi to 4 more hospitals.

Does Dr. Tushar R. Modi accept Medicare?

Yes. CMS data shows Dr. Modi billed Medicare for 6,939 services in 2024, and Dr. Modi accepts Medicare assignment.

Does Dr. Tushar R. Modi offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Modi as offering telehealth services.

How many Medicare patients does Dr. Tushar R. Modi see?

CMS counts 585 Medicare patients who saw Dr. Modi in 2024, with an average age of 78.

Show 7 more questionsShow fewer questions

Is Dr. Tushar R. Modi board certified?

Yes. Dr. Modi is board certified in geriatric medicine by the American Board of Internal Medicine.

What services does Dr. Tushar R. Modi bill to Medicare?

In 2024, Dr. Modi's most billed Medicare services were office visit, established patient (99213), medicare service (G2211) and injected or infused drug (J1010).

Where did Dr. Tushar R. Modi go to medical school?

Dr. Modi graduated from Baroda Medical College in 1981.

What drugs does Dr. Tushar R. Modi prescribe most?

In 2024 Medicare Part D data, Dr. Modi's most prescribed drugs by claims were Atorvastatin Calcium, Amlodipine Besylate and Losartan Potassium.

Has Dr. Tushar R. Modi received payments from drug or device companies?

CMS Open Payments shows $1,319 in general payments to Dr. Modi from 12 companies from 2016 to 2025. The largest total came from Astellas Pharma US Inc.

How long has Dr. Tushar R. Modi been practicing?

Dr. Modi graduated from medical school in 1981, 45 years ago.

What insurance does Dr. Tushar R. Modi accept?

Dr. Modi is in network with 7 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 5. Check the plan with the practice before a visit.

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