Dr. Fagunkumar Modi, MD

  • Crystal River, FL
  • Pulmonologist
NPI1619117421PAC ID9335391028
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
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Personal email
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Mobile number
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Social profiles

Primary practice

Citrus Pulmonary Consultants

Crystal River, Florida

See all 10 affiliations

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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 and contact details
Medicare PAC ID
9335391028
NPI enumeration date
March 6, 2009
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(352) 795-1999
Professional email
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Personal email
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Mobile number
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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 Consultants
    5616 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.

See all 10 affiliations for Dr. Modi

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.

EHR by site
SiteEHR vendor and product
Citrus Pulmonary ConsultantsAvailable with a free account
+7 more sites and 1 medical groupAvailable 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, FloridaPrimaryLicense ME120896 · 2014 to 2026 · taxonomy 207RP1001X
  • Tennessee license2012 to 2016

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.

934pulmonologists in Florida
5pulmonologists in Crystal River

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.

Medicare services, 20243,788
Medicare patients948
Paid by Medicare$329,022
Procedure codes24

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.

See all procedures by Dr. Modi

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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.

Medicare patients, 2024948
Average age78
Average risk score2.56
Also on Medicaid18%

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

  1. High blood pressure75%
  2. High cholesterol75%
  3. Ischemic heart disease63%
  4. COPD62%
  5. Chronic kidney disease58%
  6. Arthritis53%
  7. Heart failure53%
  8. 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.

Part D claims, 20241,635
Drugs named by CMS34
Total drug cost$524,236
Part D patients415

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.

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. 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.

Papers5
Years published2020 to 2023

Dr. Modi's papers by year, 2020 to 2023

Dr. Modi's most frequent co-authors

Recent publications by Dr. Modi

See all 5 publications and co-authors

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.

How network discovery works

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

$11.5Kin total
  • 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.

See all payments to Dr. Modi

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.

  1. Medical schoolM.P. Shah Medical College
  2. Board certified in critical care medicineAmerican Board of Internal Medicine
  3. Board certified in internal medicineAmerican Board of Internal Medicine
  4. Board certified in pulmonary diseaseAmerican Board of Internal Medicine

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

  1. Medicare9
  2. PPO7
  3. HMO5
  4. POS3
  5. EPO2

Source: Dmand AI Insurance Network Data

Sources for Dr. Fagunkumar 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 phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand 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)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
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. 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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