Nikunjkumar Trambaklal Modi, MD
NPI 1003131343ActiveIndividual· Psychiatry & Neurology, Psychiatry· Florence, SC
Psychiatry & Neurology, Psychiatry (MD) with Musc Community Physicians and 1 other group, practicing in Florence, South Carolina. Their prescriptions cost Medicare Part D more than their services did: $281,711 for 835 claims, against $3,625 paid for services in 2024. Teva Pharmaceuticals USA, Inc. was the largest of 7 companies reporting payments in 2025, $27,012 in all, mostly speaking and faculty fees.
Overview
| NPI | 1003131343 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 30, 2010 |
| Last updated in NPPES | May 24, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | 37807 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychiatry (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 60 across 8 procedure codes |
| Paid by Medicare | $3,625 |
Part D prescriptions in 2024
| Prescriptions (claims) | 835 · 1,028 30-day fills |
|---|---|
| Patients | 63 |
| Total drug cost | $281,711 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Psychiatry |
Medical groups
- Musc Community PhysiciansCentennial, CO · 1,544 clinicians
- South Carolina Dept of Mental Health Accounting OfficeBennettsville, SC · 221 clinicians
Industry payments (Open Payments)
- 2025$27,012 · 53 payments from 7 companies
- 2024$24,928 · 76 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Teva Pharmaceuticals USA, Inc. | $20,800 | 20 |
| Abbvie Inc. | $5,994 | 20 |
| Janssen Pharmaceuticals, Inc | $61.93 | 4 |
| Otsuka America Pharmaceutical, Inc. | $46.61 | 3 |
| E.R. Squibb & Sons, L.L.C. | $40.88 | 2 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$25,096 · 8 payments
- Food and Beverage$989.16 · 37 payments
- Travel and Lodging$926.89 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Psychiatry & Neurology, Psychiatry providers in Florence
- 1508711581
- 1003096926
- 1780759142
- 1508240250
- 1639291669
- 1316529738
- 1487857645
- 1740365691
- 1497843882
- 1134224405
- 1912039108
- 1851825780
All Psychiatry & Neurology, Psychiatry providers in South Carolina →