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Dr. Achal Pankaj Modi, MD
NPI1255540514PAC ID4688843949
- Medicare services, 2024
- 1,904
- Medicare patients, 2024
- 602
- Part D claims, 2024
- 3,663
- Publications
- 1
- Hospital affiliations
- 2
- Practice address
- 1434 W Us Highway 287 Byp, Waxahachie, TX 75165
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Baylor Scott & White Institute for Rehabilitation - Waxahachie HOPD (1434 W US Highway 287 Byp)
Inpatient Rehabilitation Facility · Waxahachie, Texas
Find Dr. Modi's professional email, personal email and mobile number
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Dr. Achal Pankaj Modi is a urologist in Waxahachie, Texas
Dr. Modi practices at Baylor Scott & White Institute for Rehabilitation - Waxahachie HOPD (1434 W US Highway 287 Byp) in Waxahachie, Texas.
Dr. Modi's NPI, 1255540514, was assigned on May 22, 2007. Dr. Modi graduated from Ohio State College of Medicine in 2006. Dr. Modi holds Texas license N9270.
NPI and contact details
- NPI
- 1255540514NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4688843949
- NPI enumeration date
- May 22, 2007
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 46
- Medical school graduation
- 2006
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Achal Pankaj Modi practices at Baylor Scott & White Institute for Rehabilitation - Waxahachie HOPD (1434 W US Highway 287 Byp) in Waxahachie, Texas
Dr. Modi's primary practice is Baylor Scott & White Institute for Rehabilitation - Waxahachie HOPD (1434 W US Highway 287 Byp), at 1434 W Us Highway 287 Byp, Waxahachie, TX 75165.
- Baylor Scott & White Institute for Rehabilitation - Waxahachie HOPD (1434 W US Highway 287 Byp)1434 W Us Highway 287 Byp, Waxahachie, TX 75165
Source: Dmand AI Affiliation Data
Dr. Achal Pankaj Modi is affiliated with 4 sites of care and 2 medical groups
Dr. Modi's primary practice is Baylor Scott & White Institute for Rehabilitation - Waxahachie HOPD (1434 W US Highway 287 Byp) in Waxahachie, Texas. Dr. Modi is also affiliated with Baylor Scott & White Medical Center - Waxahachie. The medical group on file is HealthTexas Provider Network (HTPN). Dmand AI also links Dr. Modi to 1 more group practice or clinic, 1 ambulatory surgery center and 1 medical group, each named with a free account.
Baylor Scott & White Institute for Rehabilitation - Waxahachie HOPD (1434 W US Highway 287 Byp)Primary
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Achal Pankaj Modi's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Modi practices, 4 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Baylor Scott & White Institute for Rehabilitation - Waxahachie HOPD (1434 W US Highway 287 Byp) | Available with a free account |
| +3 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Achal Pankaj Modi is one of 872 urologists in Texas
Urology is Dr. Modi's primary specialty in the NPI Registry, under taxonomy code 208800000X. Dr. Modi is board certified in urology by the American Board of Urology. Dmand AI has Dr. Modi's licenses on file in 2 states: Texas and Ohio.
Specialties and state licenses
- Urology, TexasPrimary
- Ohio license
Clinical focus
Dmand AI lists bladder disease, enlarged prostate, enlarged prostate transurethral surgery (TURP), erectile dysfunction, kidney cysts, kidney removal surgery, kidney stone disease and prostate inflammation or infection among the conditions Dr. Modi treats.
Urologists near Dr. Modi
Counts of urologists with a Dmand AI profile, by place and practice. Each opens the list.
872urologists in Texas
3urologists in Waxahachie
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Achal Pankaj Modi billed Medicare for 1,904 services in 2024
CMS data shows 1,904 Medicare services from Dr. Modi across 19 procedure codes in 2024, for 602 Medicare patients. Medicare paid $117,732 for them.
Medicare services, 20241,904
Medicare patients602
Paid by Medicare$117,732
Procedure codes19
Dr. Modi's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 1,0242024: 83918%
- Surgery
- 2023: 7742024: 65515%
- Lab and pathology
- 2023: 1,3592024: 37073%
- Imaging
- 2023: 332024: 4021%
Where Dr. Modi's Medicare services took place, 2024
- In an office1,79894%
- In a facility1066%
Dr. Modi compared with the Texas median for urologists, 2024
- Dr. Modi
- Texas median
- Medicare services
- 1,904vs 1,57021% above
- Medicare patients
- 602vs 40050% above
- Part D claims
- 3,526vs 9183.8 times
Medians across 809 urologists in Texas 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 urologists in Texas.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Achal Pankaj Modi treated 602 Medicare patients in 2024, average age 76
CMS counts 602 Medicare patients who saw Dr. Modi in 2024. The largest group is 65 to 74, with 250 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 4% are also on Medicaid. Their average risk score is 1.26, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Modi's median patient age at 68, with 28% women.
Medicare patients, 2024602
Average age76
Average risk score1.26
Also on Medicaid4%
Dr. Modi's Medicare patients by age, 2024
Dr. Modi's Medicare patients by sex, 2024
- Women9716%
- Men50584%
Chronic conditions among Dr. Modi's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis47%
- Diabetes36%
- Ischemic heart disease33%
- Chronic kidney disease31%
- Cancer24%
- Atrial fibrillation22%
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 68
Patient panel by sex, all payers
- Women28%
- Men70%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Achal Pankaj Modi wrote 3,663 Medicare Part D claims in 2024
In 2024, Dr. Modi wrote 3,663 Medicare Part D claims for 942 patients. 95% of them were for generic drugs. CMS names the drug for 3,526 of them, across 31 drugs with 11 or more claims each, at $193,772 in total drug cost. In 2023, CMS named 2,890 claims across 30 drugs.
Part D claims, 20243,663
Drugs named by CMS31
Total drug cost$193,772
Part D patients942
Dr. Modi's Part D claims by kind of drug, 2024
- Generic3,483 claims95%
- Brand-name and other180 claims5%
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
- Opioids2%75 of 3,663 claims
- Antibiotics20%716 of 3,663 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: 2,8902024: 3,52622%
Drugs named by CMS: 31 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. Achal Pankaj Modi ranks in the 72nd percentile for prostate resection in Medicare
Dr. Modi accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 15 procedures of prostate resection by Dr. Modi, more than 72% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Where Dr. Modi ranks in Medicare procedure volume
- Prostate resection
- 72nd percentile15 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)
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Dr. Achal Pankaj Modi has 1 publication on record
Dmand AI links 1 paper to Dr. Modi. Dr. Modi's most frequent co-authors are David Charles Arend, MD, Mantu Gupta, MD and Jaime Landman, MD.
Papers1
Dr. Modi's most frequent co-authors
- David Charles Arend, MD1 shared paper
- Mantu Gupta, MD1 shared paper
- Jaime Landman, MD1 shared paper
Recent publications by Dr. Modi
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 urologists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Achal Pankaj Modi received $4,848 in industry payments from 2016 to 2024
CMS Open Payments shows 70 general payments to Dr. Modi from 15 drug and device companies from 2016 to 2024. Food and beverage make up the largest share, 73% of the total. Boston Scientific Corporation paid the most, $2,168.
General payments to Dr. Modi by program year, 2016 to 2024
General payments to Dr. Modi by kind, 2016 to 2024
$4.8Kin total
- Food and beverage$3,54173%
- Travel and lodging$1,03721%
- Education$2706%
Companies that paid Dr. Modi the most, 2016 to 2024
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Achal Pankaj Modi graduated from Ohio State College of Medicine
Dr. Modi graduated from Ohio State College of Medicine in 2006.
- Medical school
- Board certified in urology
Source: Dmand AI Professional Profile Data
Dr. Achal Pankaj Modi accepts plans from 21 insurance carriers
Dr. Modi is in network with 21 carriers, including Aetna, United Healthcare and Cigna. PPO plans come from the most carriers, 13. Check the plan with the practice before a visit.
- Aetna
- United Healthcare
- Cigna
- Elevance
- HCSC
- Humana
- Alliant Health Plans
- Aspirus Health Plan
- +13 more carriersWith a free account
Plan types Dr. Modi accepts, by number of carriers
- PPO13
- HMO12
- Medicare8
- EPO4
- POS4
Source: Dmand AI Insurance Network Data
Sources for Dr. Achal Pankaj 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 | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand 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)Doctors and Clinicians Utilization Data (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. Achal Pankaj 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. Achal Pankaj Modi's NPI number?
Dr. Achal Pankaj Modi's NPI number is 1255540514. It was assigned on May 22, 2007, and it is active in the NPI Registry.
What kind of doctor is Dr. Achal Pankaj Modi?
Dr. Achal Pankaj Modi is a urologist in Waxahachie, Texas. The primary specialty in the NPI Registry is Urology Physician (taxonomy code 208800000X).
Where does Dr. Achal Pankaj Modi practice?
Dr. Modi practices at 1434 W Us Highway 287 Byp, Waxahachie, TX 75165. Dr. Modi's primary practice is Baylor Scott & White Institute for Rehabilitation - Waxahachie HOPD (1434 W US Highway 287 Byp) in Waxahachie, Texas. Dmand AI also links Dr. Modi to 1 group practice or clinic, 1 ambulatory surgery center and 1 medical group.
What is Dr. Achal Pankaj Modi's medical license number?
Dr. Modi holds Texas license N9270, one of the licenses on file in 2 states.
Which states has Dr. Achal Pankaj Modi been licensed in?
Dmand AI has state licenses on file for Dr. Modi in Texas (2011 to 2026) and Ohio (2006 to 2011).
Which hospitals is Dr. Achal Pankaj Modi affiliated with?
Dr. Modi is affiliated with Baylor Scott & White Medical Center - Waxahachie. Dmand AI links Dr. Modi to 1 more hospital.
What medical group is Dr. Achal Pankaj Modi part of?
Dr. Modi is linked to HealthTexas Provider Network (HTPN). Dmand AI links Dr. Modi to 1 more medical group.
Does Dr. Achal Pankaj Modi accept Medicare?
Yes. CMS data shows Dr. Modi billed Medicare for 1,904 services in 2024, and Dr. Modi accepts Medicare assignment.
How many Medicare patients does Dr. Achal Pankaj Modi see?
CMS counts 602 Medicare patients who saw Dr. Modi in 2024, with an average age of 76.
Is Dr. Achal Pankaj Modi board certified?
Yes. Dr. Modi is board certified in urology by the American Board of Urology.
Show 8 more questionsShow fewer questions
What services does Dr. Achal Pankaj Modi bill to Medicare?
In 2024, Dr. Modi's most billed Medicare services were office visit, established patient (99214), lab and pathology test (81003) and surgery: urinary system (51798).
Where did Dr. Achal Pankaj Modi go to medical school?
Dr. Modi graduated from Ohio State College of Medicine in 2006.
What drugs does Dr. Achal Pankaj Modi prescribe most?
In 2024 Medicare Part D data, Dr. Modi's most prescribed drugs by claims were Tamsulosin HCl, Finasteride and Doxycycline Monohydrate.
Has Dr. Achal Pankaj Modi received payments from drug or device companies?
CMS Open Payments shows $4,848 in general payments to Dr. Modi from 15 companies from 2016 to 2024. The largest total came from Boston Scientific Corporation.
How long has Dr. Achal Pankaj Modi been practicing?
Dr. Modi graduated from medical school in 2006, 20 years ago.
Does Dr. Achal Pankaj Modi do research?
Dmand AI links 1 publication to Dr. Modi.
Who does Dr. Achal Pankaj Modi publish with?
Dr. Modi's most frequent co-authors are David Charles Arend, MD (1 shared paper), Mantu Gupta, MD (1 shared paper) and Jaime Landman, MD (1 shared paper).
What insurance does Dr. Achal Pankaj Modi accept?
Dr. Modi is in network with 21 carriers, including Aetna, United Healthcare and Cigna. PPO plans come from the most carriers, 13. Check the plan with the practice before a visit.
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