Fagunkumar Modi, MD
NPI 1619117421ActiveIndividual· Internal Medicine, Pulmonary Disease· Crystal River, FL
Internal Medicine, Pulmonary Disease (MD) with Legacy Healthcare Services Inc and 1 other group, practicing in Crystal River, Florida. Their prescriptions cost Medicare Part D more than their services did: $629,199 for 1,635 claims, against $338,256 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 10 companies reporting payments in 2025, $761.20 in all, mostly food and beverage. Lists HCA Florida Citrus Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1619117421 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 6, 2009 |
| Last updated in NPPES | Mar 25, 2026 |
| Certified by provider | Mar 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | ME120896 | FL |
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 - Internal Medicine (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 948 |
|---|---|
| Services billed | 3,899 across 55 procedure codes |
| Paid by Medicare | $338,256 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,635 · 2,491 30-day fills |
|---|---|
| Patients | 415 |
| Total drug cost | $629,199 |
| Generic share | 60% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Internal Medicine |
| Secondary specialties | Critical Care (Intensivists), Pulmonary Disease |
Medical groups
- Legacy Healthcare Services IncGreenville, SC · 3,223 clinicians
- Manoj B Shukla MD PACrystal River, FL · 7 clinicians
Hospital affiliations
- HCA Florida Citrus HospitalInverness, FL
- HCA Florida Largo HospitalLargo, FL
- Tampa General HospitalTampa, FL
- Tampa General Hospital Crystal RiverCrystal River, FL
Other facilities
- Vitas Healthcare Corporation of FloridaHospice · Melbourne, FL
Industry payments (Open Payments)
- 2025$761.20 · 32 payments from 10 companies
- 2024$359.40 · 14 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $260.60 | 18 |
| Cook Medical LLC | $212.45 | 1 |
| Insmed, Inc. | $93.62 | 4 |
| Genzyme Corporation | $50.84 | 2 |
| Verona Pharma, Inc. | $34.97 | 2 |
What the 2025 payments were for
- Food and Beverage$743.82 · 31 payments
- Education$17.38 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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