Anil R. Modi, MD
NPI 1508868704ActiveIndividual· Internal Medicine· Lagrange, GA
Internal Medicine (MD) in Lagrange, Georgia, licensed in GA, with an NPI issued in June 2005. Their prescriptions cost Medicare Part D more than their services did: $1,244,657 for 17,943 claims, against $219,355 paid for services in 2024. Shield Therapeutics Inc was the largest of 25 companies reporting payments in 2025, $1,424 in all, mostly food and beverage. Lists Wellstar West Georgia Medical Center as a hospital affiliation.
Overview
| NPI | 1508868704 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 1, 2005 |
| Last updated in NPPES | May 28, 2024 |
| Certified by provider | May 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 048066 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 316 |
|---|---|
| Services billed | 4,402 across 34 procedure codes |
| Paid by Medicare | $219,355 |
Part D prescriptions in 2024
| Prescriptions (claims) | 17,943 · 33,911 30-day fills |
|---|---|
| Patients | 742 |
| Total drug cost | $1,244,657 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Hospital affiliation
- Wellstar West Georgia Medical CenterLagrange, GA
Other facilities
- Adoration Home HealthHome health agency · Columbus, GA
- Centerwell Home HealthHome health agency · Columbus, GA
- Central Home Health Care, An Amedisys CompanyHome health agency · Douglasville, GA
- West Georgia Home CareHome health agency · Lagrange, GA
Industry payments (Open Payments)
- 2025$1,424 · 71 payments from 25 companies
- 2024$2,175 · 127 payments from 29 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Shield Therapeutics Inc | $114.37 | 5 |
| Axsome Therapeutics, Inc. | $101.58 | 5 |
| Otsuka America Pharmaceutical, Inc. | $98.51 | 5 |
| Takeda Pharmaceuticals U.S.A., Inc. | $94.89 | 4 |
| Biogen, Inc. | $82.53 | 5 |
What the 2025 payments were for
- Food and Beverage$1,424 · 71 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 21 internal medicine physicians in Lagrange · All internal medicine physicians in Georgia