Dr. Fagunkumar Modi, MD
- Medicare services, 2024
- 3,788
- Medicare patients, 2024
- 948
- Part D claims, 2024
- 1,635
- Publications
- 5
- MIPS score, 2024
- 98
- Practice address
- 5616 W Norvell Bryant Hwy, Crystal River, FL 34429
- Practice phone
- Call (352) 795-1999
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Citrus Pulmonary Consultants
Crystal River, Florida
Find Dr. Modi's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Fagunkumar Modi is a pulmonologist in Crystal River, Florida
Dr. Modi practices at Citrus Pulmonary Consultants in Crystal River, Florida.
Dr. Modi's NPI, 1619117421, was assigned on March 6, 2009. Dr. Modi graduated from M.P. Shah Medical College in 2005. Dr. Modi holds Florida license ME120896.
- NPI
- 1619117421NPI Registry (opens in a new tab)
- Medicare PAC ID
- 9335391028
- NPI enumeration date
- March 6, 2009
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (352) 795-1999
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 49
- Medical school graduation
- 2005
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Fagunkumar Modi practices at Citrus Pulmonary Consultants in Crystal River, Florida
Dr. Modi's primary practice is Citrus Pulmonary Consultants, at 5616 W Norvell Bryant Hwy, Crystal River, FL 34429 in Citrus County. The practice phone is (352) 795-1999.
- Citrus Pulmonary Consultants5616 W Norvell Bryant Hwy, Crystal River, FL 34429 · Citrus CountyPhone(352) 795-1999
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Fagunkumar Modi is affiliated with 8 sites of care and 2 medical groups
Dr. Modi's primary practice is Citrus Pulmonary Consultants in Crystal River, Florida. Dr. Modi is also affiliated with Tampa General Hospital Crystal River. The medical group on file is Citrus Pulmonary Consultants and Sleep Disorders Center. Dmand AI also links Dr. Modi to 3 more hospitals, 1 group practice or clinic, 1 hospice, 1 therapy and rehab clinic and 1 medical group, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Fagunkumar Modi's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Modi practices, 7 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Citrus Pulmonary Consultants | Available with a free account |
| +7 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Fagunkumar Modi is one of 934 pulmonologists in Florida
Pulmonary disease is Dr. Modi's primary specialty in the NPI Registry, under taxonomy code 207RP1001X. Dr. Modi is board certified in critical care medicine by the American Board of Internal Medicine. Dmand AI has Dr. Modi's licenses on file in 2 states: Florida and Tennessee.
Specialties and state licenses
- Pulmonary disease, FloridaPrimary
- Tennessee license
Clinical focus
Dmand AI lists acute respiratory failure, acute sinusitis, alcohol use disorders, aneurysm, asthma, atrial fibrillation and flutter, bile duct problems and bronchitis among the conditions Dr. Modi treats.
Pulmonologists near Dr. Modi
Counts of pulmonologists 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. Fagunkumar Modi billed Medicare for 3,788 services in 2024
CMS data shows 3,788 Medicare services from Dr. Modi across 24 procedure codes in 2024, for 948 Medicare patients. Medicare paid $329,022 for them.
Dr. Modi's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 2,7292024: 2,9337%
- Tests and treatments
- 2023: 7002024: 57917%
- Other services
- 2023: 02024: 182
- Surgery
- 2023: 992024: 6237%
- Imaging
- 2023: 372024: 3214%
Where Dr. Modi's Medicare services took place, 2024
- In an office1,63543%
- In a facility2,15357%
Dr. Modi compared with the Florida median for pulmonologists, 2024
- Dr. Modi
- Florida median
- Medicare services
- 3,788vs 1,0023.8 times
- Medicare patients
- 948vs 4082.3 times
- Part D claims
- 1,277vs 6372.0 times
Medians across 895 pulmonologists in Florida 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.
Need commercial claims for Dr. Modi?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Modi and other pulmonologists in Florida.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Fagunkumar Modi treated 948 Medicare patients in 2024, average age 78
CMS counts 948 Medicare patients who saw Dr. Modi in 2024. The largest group is 75 to 84, with 414 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 18% are also on Medicaid. Their average risk score is 2.56, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Modi's median patient age at 76, with 55% women.
Dr. Modi's Medicare patients by age, 2024
Dr. Modi's Medicare patients by sex, 2024
- Women50753%
- Men44147%
Chronic conditions among Dr. Modi's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Ischemic heart disease63%
- COPD62%
- Chronic kidney disease58%
- Arthritis53%
- Heart failure53%
- Mood disorders49%
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 76
Patient panel by sex, all payers
- Women55%
- Men44%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Fagunkumar Modi wrote 1,635 Medicare Part D claims in 2024
In 2024, Dr. Modi wrote 1,635 Medicare Part D claims for 415 patients. 60% of them were for generic drugs. CMS names the drug for 1,277 of them, across 34 drugs with 11 or more claims each, at $524,236 in total drug cost. In 2023, CMS named 1,217 claims across 30 drugs.
Dr. Modi's Part D claims by kind of drug, 2024
- Generic984 claims60%
- Brand-name and other651 claims40%
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
- Opioids3%42 of 1,635 claims
- Antibiotics8%130 of 1,635 claims
- Antipsychotics, patients 65 and over1%19 of 1,635 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: 1,2172024: 1,2775%
Drugs named by CMS: 34 in 2024, 30 in 2023.
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. Fagunkumar Modi scored 98 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 98 out of 100 for Dr. Modi for performance year 2024, reported as part of a group. Dr. Modi accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Modi's MIPS scores, performance year 2024
- 98of 100Final score
- 86.9of 100Quality
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Fagunkumar Modi has 5 publications on record
Dmand AI links 5 papers to Dr. Modi, published from 2020 to 2023. Dr. Modi has published most often in Cureus. Dr. Modi's most frequent co-authors are Jeffrey Paul Jordan, MD, Hamish Sunil Patel, DO and John Wayne Royalty, DO.
Dr. Modi's papers by year, 2020 to 2023
Dr. Modi's most frequent co-authors
- Jeffrey Paul Jordan, MD2 shared papers
- Hamish Sunil Patel, DO1 shared paper
- John Wayne Royalty, DO1 shared paper
Recent publications by Dr. Modi
Korean J Gastroenterol
See who Dr. Modi researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Modi works with, so you can find a warm path to the right pulmonologists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Fagunkumar Modi received $11,507 in industry payments from 2016 to 2025
CMS Open Payments shows 278 general payments to Dr. Modi from 34 drug and device companies from 2016 to 2025. Education make up the largest share, 54% of the total. Intuitive Surgical, Inc. paid the most, $7,005.
General payments to Dr. Modi by program year, 2016 to 2025
General payments to Dr. Modi by kind, 2016 to 2025
- Education$6,19154%
- Food and beverage$4,32938%
- Travel and lodging$9889%
Companies that paid Dr. Modi the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Fagunkumar Modi graduated from M.P. Shah Medical College
Dr. Modi graduated from M.P. Shah Medical College in 2005.
- Medical school
- Board certified in critical care medicine
- Board certified in internal medicine
- Board certified in pulmonary disease
Source: Dmand AI Professional Profile Data
Dr. Fagunkumar Modi accepts plans from 9 insurance carriers
Dr. Modi is in network with 9 carriers, including Elevance, Excellus BlueCross BlueShield and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.
- Elevance
- Excellus BlueCross BlueShield
- Blue Cross Blue Shield of Michigan
- Humana
- Aetna
- Blue Cross Blue Shield of Massachusetts
- HCSC
- Regence Health Plans
- +1 more carriersWith a free account
Plan types Dr. Modi accepts, by number of carriers
- Medicare9
- PPO7
- HMO5
- POS3
- EPO2
Source: Dmand AI Insurance Network Data
Sources for Dr. Fagunkumar Modi's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Fagunkumar 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. Fagunkumar Modi's NPI number?
Dr. Fagunkumar Modi's NPI number is 1619117421. It was assigned on March 6, 2009, and it is active in the NPI Registry.
What kind of doctor is Dr. Fagunkumar Modi?
Dr. Fagunkumar Modi is a pulmonologist in Crystal River, Florida. The primary specialty in the NPI Registry is Pulmonary Disease Physician (taxonomy code 207RP1001X).
Where does Dr. Fagunkumar Modi practice?
Dr. Modi practices at 5616 W Norvell Bryant Hwy, Crystal River, FL 34429. Dr. Modi's primary practice is Citrus Pulmonary Consultants in Crystal River, Florida. Dmand AI also links Dr. Modi to 3 hospitals, 1 group practice or clinic, 1 hospice, 1 therapy and rehab clinic and 1 medical group.
What is Dr. Fagunkumar Modi's office phone number?
The practice phone on file for Dr. Modi is (352) 795-1999.
What is Dr. Fagunkumar Modi's medical license number?
Dr. Modi holds Florida license ME120896, one of the licenses on file in 2 states.
Which states has Dr. Fagunkumar Modi been licensed in?
Dmand AI has state licenses on file for Dr. Modi in Florida (2014 to 2026) and Tennessee (2012 to 2016).
Which hospitals is Dr. Fagunkumar Modi affiliated with?
Dr. Modi is affiliated with Tampa General Hospital Crystal River. Dmand AI links Dr. Modi to 3 more hospitals.
What medical group is Dr. Fagunkumar Modi part of?
Dr. Modi is linked to Citrus Pulmonary Consultants and Sleep Disorders Center. Dmand AI links Dr. Modi to 1 more medical group.
Does Dr. Fagunkumar Modi accept Medicare?
Yes. CMS data shows Dr. Modi billed Medicare for 3,788 services in 2024, and Dr. Modi accepts Medicare assignment.
What is Dr. Fagunkumar Modi's MIPS score?
Dr. Modi's MIPS final score for performance year 2024 is 98 out of 100, reported as part of a group.
Show 10 more questionsShow fewer questions
How many Medicare patients does Dr. Fagunkumar Modi see?
CMS counts 948 Medicare patients who saw Dr. Modi in 2024, with an average age of 78.
Is Dr. Fagunkumar Modi board certified?
Yes. Dr. Modi is board certified in critical care medicine by the American Board of Internal Medicine.
What services does Dr. Fagunkumar Modi bill to Medicare?
In 2024, Dr. Modi's most billed Medicare services were hospital inpatient care (99233), office visit, established patient (99214) and hospital inpatient care (99223).
Where did Dr. Fagunkumar Modi go to medical school?
Dr. Modi graduated from M.P. Shah Medical College in 2005.
What drugs does Dr. Fagunkumar Modi prescribe most?
In 2024 Medicare Part D data, Dr. Modi's most prescribed drugs by claims were Trelegy Ellipta, Albuterol Sulfate Hfa and Azithromycin.
Has Dr. Fagunkumar Modi received payments from drug or device companies?
CMS Open Payments shows $11,507 in general payments to Dr. Modi from 34 companies from 2016 to 2025. The largest total came from Intuitive Surgical, Inc.
How long has Dr. Fagunkumar Modi been practicing?
Dr. Modi graduated from medical school in 2005, 21 years ago.
Does Dr. Fagunkumar Modi do research?
Dmand AI links 5 publications to Dr. Modi, published from 2020 to 2023.
Who does Dr. Fagunkumar Modi publish with?
Dr. Modi's most frequent co-authors are Jeffrey Paul Jordan, MD (2 shared papers), Hamish Sunil Patel, DO (1 shared paper) and John Wayne Royalty, DO (1 shared paper).
What insurance does Dr. Fagunkumar Modi accept?
Dr. Modi is in network with 9 carriers, including Elevance, Excellus BlueCross BlueShield and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.
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