Active NPI 1174674816 Individual Practitioner Male Practitioner

Dr. Ashesh I Modi , MD

Specialist • Newark, DE

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ashesh Modi, MD is a certified Specialist practicing in Newark, DE. With approximately 33 years of clinical experience since graduating from Medical College Of Pennsylvania in 1993, Dr. Modi delivers high-quality medical care to the local community at 4745 OGLETOWN STANTON RD.

Dr. Modi maintains professional affiliations with Christiana Care Health Services Inc, Delaware Center For Digestive Care Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, vedolizumab, intravenous, 1 mg, subsequent hospital care with moderate levelof medical decision making, if using time, at least, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4745 Ogletown Stanton Rd
Map #1

Newark, DE 197132067

Telephone 3027385300

Fax 3027314822

Associated Practice Facility / Clinic

🏢 Gastroenterology Associates, Pa Facility NPI 1902804982

Medicare Profile & Education

Medical School

Medical College Of Pennsylvania

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Newark, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs -3.0 yrs vs City Avg

City Avg: 36.0 Yrs

State Avg: 33.9 Yrs

Regional Practice Density

44 Specialists

Practicing in Newark, DE (148 Statewide)

Telehealth Adoption Rate

6.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Modi (33 Years) 33 Yrs

Newark Specialty Average (36.0 Years) 36.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3380 Injection, vedolizumab, intravenous, 1 mg	8,400	22	$60.00	$21.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	122	121	$240.47	$76.26
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	104	104	$988.87	$244.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	84	$325.00	$122.10
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	88	88	$349.05	$100.77
99213 Established patient office or other outpatient visit, typically 15 minutes	75	69	$230.00	$87.52
45380 Biopsy of large bowel using an endoscope	75	75	$505.03	$96.02
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	74	74	$460.00	$170.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$285.00	$109.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$425.00	$164.41
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	29	23	$325.00	$60.87
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$465.00	$165.22
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	12	$357.69	$109.47
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$492.08	$157.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	148	146	$234.22	$79.05
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	142	140	$580.14	$102.31
99213 Established patient office or other outpatient visit, typically 15 minutes	102	91	$149.81	$85.87
45380 Biopsy of large bowel using an endoscope	94	94	$820.95	$114.29
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	92	92	$1013.67	$245.86
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	77	77	$712.50	$173.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	65	$198.01	$125.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$294.90	$165.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$226.50	$109.95
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	31	31	$707.87	$180.60
45378 Diagnostic exam of large bowel using a flexible endoscope	26	26	$710.24	$176.27
91110 Imaging of digestive tract done from the inside of the digestive tract	21	21	$2071.43	$749.62
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$346.89	$113.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3380 Injection, vedolizumab, intravenous, 1 mg	5,400	12	$33.41	$21.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	152	$188.24	$123.47
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	157	157	$653.51	$106.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$287.54	$164.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	102	102	$201.74	$71.66
45380 Biopsy of large bowel using an endoscope	87	87	$899.96	$117.26
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	84	82	$1020.48	$249.71
99442 Telephone medical discussion with physician, 11-20 minutes	53	46	$125.14	$87.94
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	42	42	$754.58	$185.29
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$125.14	$84.84
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$754.58	$185.91
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$721.53	$181.90
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	18	12	$93.05	$69.82
91110 Imaging of digestive tract done from the inside of the digestive tract	17	17	$2100.00	$813.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	205	$188.24	$128.64
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	152	150	$646.71	$102.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	131	131	$287.54	$169.62
45380 Biopsy of large bowel using an endoscope	113	113	$907.42	$131.28
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	89	88	$1015.67	$258.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	76	$183.54	$73.18
99213 Established patient office or other outpatient visit, typically 15 minutes	52	49	$125.14	$85.97
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	45	45	$754.58	$188.07
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$754.58	$185.74
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$754.58	$184.42
91110 Imaging of digestive tract done from the inside of the digestive tract	15	15	$2100.00	$906.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	239	154	$125.14	$57.64
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	89	86	$680.05	$115.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	61	$183.43	$74.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	48	$188.24	$112.22
45380 Biopsy of large bowel using an endoscope	50	50	$930.70	$148.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$186.62	$81.73
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	31	$1039.16	$264.93
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	31	30	$754.58	$189.74
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$324.90	$117.99
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$686.92	$174.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$287.54	$161.44
99447 Telephone or internet assessment with verbal and written report by consulting physician, 11-20 minutes	15	15	$88.07	$38.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	264	190	$188.24	$110.24
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	132	132	$671.42	$110.05
99213 Established patient office or other outpatient visit, typically 15 minutes	117	96	$125.27	$76.49
45380 Biopsy of large bowel using an endoscope	92	92	$921.43	$137.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$288.70	$169.54
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	60	59	$1037.09	$273.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	51	$183.41	$74.71
45378 Diagnostic exam of large bowel using a flexible endoscope	49	49	$768.67	$187.50
91110 Imaging of digestive tract done from the inside of the digestive tract	14	14	$2100.00	$909.35
45381 Injection beneath lining of large bowel using a flexible endoscope	12	11	$900.28	$16.78
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$754.58	$198.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	354	231	$188.24	$108.11
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	143	137	$656.68	$103.96
45380 Biopsy of large bowel using an endoscope	111	111	$906.06	$144.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	82	$183.38	$74.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$288.72	$165.97
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	63	63	$1016.21	$268.51
45378 Diagnostic exam of large bowel using a flexible endoscope	53	52	$754.58	$193.97
91110 Imaging of digestive tract done from the inside of the digestive tract	28	28	$2100.00	$877.99
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$125.14	$74.31
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$324.90	$124.75
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$192.66	$52.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	357	236	$188.24	$107.56
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	167	160	$650.41	$108.78
45380 Biopsy of large bowel using an endoscope	110	109	$906.06	$165.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$288.54	$165.63
45378 Diagnostic exam of large bowel using a flexible endoscope	79	79	$751.72	$190.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	78	$183.45	$72.11
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	60	59	$1020.48	$263.49
99213 Established patient office or other outpatient visit, typically 15 minutes	34	31	$125.14	$74.39
91110 Imaging of digestive tract done from the inside of the digestive tract	30	30	$1941.36	$863.04
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$754.58	$190.52
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$279.30	$103.38
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$324.90	$110.34

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License DE C10005584

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000944101 (DE)

Hospital & Practice Group Affiliations

Delaware Center For Digestive Care Llc

4745 Ogletown Stanton Rd, Newark, DE 197132074

Phone: 3027385300

Christiana Care Health Services Inc

4755 Ogletown Stanton Rd, Newark, DE 197182200

Phone: 3027331000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners

Dr. Bernard Haimowitz , MD

Specialist

NPI 1043382443

Doctor of Medicine (M.D.)

Dr. David Beswick , MD

Specialist

NPI 1124190095

Doctor of Medicine (M.D.)

Dr. Ira Lobis , MD, FACP, FACG

Specialist

NPI 1144390857

Doctor of Medicine (M.D.), FACP, FACG

Dr. Nathan Merriman , MD

Specialist

NPI 1174686042

Doctor of Medicine (M.D.)

Sarah Shaw , FNP-C

Nurse Practitioner - Family

NPI 1407776545

Family Nurse Practitioner (Certified)

Dr. Warren Butt , MD

Specialist

NPI 1427129436

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 4745 OGLETOWN STANTON RD, MAP #1, NEWARK, DE 197132067 (Tel: 3027385300)

📍

Updated Business Mailing Address July 08, 2007

Registered at 4745 OGLETOWN STANTON RD, MAP #1, NEWARK, DE 197132067 (Tel: 3027385300)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ASHESH MODI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #C10005584 in DE)

🟢

Initial NPI Registration & Enumeration January 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Ashesh Modi. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1174674816

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 16, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4745 Ogletown Stanton Rd, Map #1

Newark, DE 197132067

Phone: 3027385300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.