Prachi Mahendra Modi, M.D.
NPI 1053583849ActiveIndividual· Emergency Medicine· East Norriton, PA
Emergency Medicine (M.D.) in East Norriton, Pennsylvania, trained at State University of New York at Stony Brook, School of Medicine (class of 2005). In 2024 Medicare paid $50,041 for 418 patients, and Part D covered 65 of their prescriptions, 82% of them generic.
Overview
| NPI | 1053583849 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 1, 2008 |
| Last updated in NPPES | Oct 23, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | MD443559 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 418 |
|---|---|
| Services billed | 438 across 19 procedure codes |
| Paid by Medicare | $50,041 |
Part D prescriptions in 2024
| Prescriptions (claims) | 65 · 65 30-day fills |
|---|---|
| Patients | 51 |
| Total drug cost | $4,006 |
| Generic share | 82% of claims |
Education and affiliations
| Medical school | State University of New York at Stony Brook, School of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Emergency Medicine |
Medical group
- New York UniversityNew York, NY · 6,134 clinicians
Hospital affiliation
- NYU Langone HospitalsNew York, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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