Priti Tushar Modi, M.D., F.A.C.P.
NPI 1568440246ActiveIndividual· Internal Medicine· Modesto, CA
Internal Medicine (M.D., F.A.C.P.) with Community Health Centers of America and 2 other groups, practicing in Modesto, California. Their prescriptions cost Medicare Part D more than their services did: $2,208,875 for 17,272 claims, against $214,049 paid for services in 2024. Boehringer Ingelheim Pharmaceuticals, Inc. was the largest of 21 companies reporting payments in 2025, $1,019 in all, mostly food and beverage. Lists Memorial Medical Center as a hospital affiliation.
Overview
| NPI | 1568440246 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D., F.A.C.P. |
| Sole proprietor | Yes |
| NPI issued | Jan 4, 2006 |
| Last updated in NPPES | Feb 9, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | A52036 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 293 |
|---|---|
| Services billed | 2,861 across 48 procedure codes |
| Paid by Medicare | $214,049 |
Part D prescriptions in 2024
| Prescriptions (claims) | 17,272 · 30,127 30-day fills |
|---|---|
| Patients | 601 |
| Total drug cost | $2,208,875 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical groups
- Community Health Centers of AmericaMariposa, CA · 117 clinicians
- Golden Valley Health CentersDos Palos, CA · 113 clinicians
- Priti Modi MD IncModesto, CA · 2 clinicians
Hospital affiliation
- Memorial Medical CenterModesto, CA
Other facilities
- Sutter Care at HomeHome health agency · Salida, CA
- United Home HealthHome health agency · Manteca, CA
- Encompass Health Rehabilitation Hospital of ModestInpatient rehabilitation facility · Modesto, CA
Industry payments (Open Payments)
- 2025$1,019 · 45 payments from 21 companies
- 2024$1,541 · 61 payments from 18 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $181.23 | 9 |
| Novo Nordisk Inc | $92.86 | 1 |
| Bayer Healthcare Pharmaceuticals Inc. | $78.68 | 4 |
| Otsuka America Pharmaceutical, Inc. | $78.12 | 4 |
| Lundbeck LLC | $67.09 | 3 |
What the 2025 payments were for
- Food and Beverage$1,019 · 45 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other internal medicine physicians in Modesto
- 1053730911
- 1063832483
- 1134175540
- 1154852994
- 1154973584
- 1164794673
- 1184612624
- 1255824884
- 1306990817
- 1326069246
- 1336136548
- 1336438852
All 169 internal medicine physicians in Modesto · All internal medicine physicians in California