Active NPI 1275542243 Individual Practitioner Female Practitioner

Dr. Phiroza S Modi , MD

Internal Medicine • Beacon, NY

Professional Overview & Biography Verified Profile Summary

Dr. Phiroza Modi, MD is a registered healthcare professional specializing in Internal Medicine in Beacon, NY. Practice services are available at 355 FISHKILL AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient assisted living visit, telephone medical discussion with physician, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

355 Fishkill Ave

Beacon, NY 125082061

Telephone 7189895550

Fax 7184548906

Associated Practice Facility / Clinic

🏢 Hedgewood Hfa Llc Facility NPI 1457763955

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Beacon, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

2 Specialists

Practicing in Beacon, NY (12979 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

19.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	299	103	$125.00	$102.88
99443 Telephone medical discussion with physician, 21-30 minutes	101	63	$150.00	$118.06
99336 Established patient assisted living visit, typically 40 minutes	87	60	$175.00	$144.88
99442 Telephone medical discussion with physician, 11-20 minutes	84	49	$75.00	$74.30
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	16	11	$150.00	$97.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$150.00	$125.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	377	93	$125.00	$99.43
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	225	41	$150.00	$93.17
99336 Established patient assisted living visit, typically 40 minutes	120	73	$175.00	$141.75
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	75	38	$100.00	$54.48
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	52	27	$121.73	$70.15
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	37	20	$100.00	$44.74
G0008 Administration of influenza virus vaccine	21	21	$50.00	$17.52
90662 Influenza vaccine split virus, preservative free	12	12	$75.00	$54.89
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	11	11	$93.18	$41.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	300	99	$125.00	$97.56
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	268	59	$150.04	$93.58
99336 Established patient assisted living visit, typically 40 minutes	223	135	$175.00	$137.31
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	72	33	$121.25	$70.73
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	69	42	$100.00	$55.21
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	30	26	$30.00	$22.05
99306 Initial nursing facility visit, typically 45 minutes per day	27	27	$205.56	$168.54
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	22	16	$100.00	$45.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	486	136	$150.58	$95.68
99336 Established patient assisted living visit, typically 40 minutes	193	73	$167.67	$133.88
99335 Established patient assisted living visit, typically 25 minutes	154	56	$123.18	$94.09
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	138	72	$122.25	$72.37
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	117	69	$100.00	$56.75
99306 Initial nursing facility visit, typically 45 minutes per day	111	105	$207.84	$173.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	58	$150.00	$107.13
99213 Established patient office or other outpatient visit, typically 15 minutes	95	45	$100.00	$73.01
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	72	38	$100.69	$46.70
G0008 Administration of influenza virus vaccine	22	22	$36.36	$29.18
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	19	18	$75.00	$41.97
99315 Nursing facility discharge day management, 30 minutes or less	17	15	$100.00	$76.62
90662 Influenza vaccine split virus, preservative free	12	12	$50.00	$48.05

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 132332

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Geriatric Medicine

NUCC Taxonomy Code: 207RG0300X

State License NY 132332

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00547186 (NY)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Kenneth Lerrick , MD

Internal Medicine - Cardiovascular Disease

NPI 1588621395

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 February 08, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 08, 2012

Registered at 355 FISHKILL AVE, BEACON, NY 125082061 (Tel: 7189895550)

📍

Updated Business Mailing Address February 08, 2012

Registered at 139-16 91ST AVE, JAMAICA, NY 114354219 (Tel: 7189895550)

👤

Provider Name / Credentials Updated February 08, 2012

Recorded as PHIROZA MODI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2012

Internal Medicine (License #132332 in NY)

🟢

Initial NPI Registration & Enumeration August 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275542243

Entity Type:

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

Enumeration Date: August 07, 2006

Last Update: February 08, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

139-16 91st Ave

Jamaica, NY 114354219

Phone: 7189895550

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.