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JIGNESH JASHAWANT MODI MD
NPI 1063556074
Internal Medicine - Infectious Disease in Zanesville, OH

Active since February 16, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
945 BETHESDA DR STE 110, ZANESVILLE, OH 43701(740) 450-6147 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2021, Oct 20, 2017 (2 updates tracked since 2017).

About Jignesh Jashawant Modi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIGNESH JASHAWANT MODI MD (NPI 1063556074) is an individual infectious disease provider in Zanesville, Ohio, licensed in Ohio (35.126560) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and is a graduate of Indiana University School Of Medicine (1994).

NPPES Registry Identity

NPI1063556074
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameJIGNESH JASHAWANT MODICredential: MD
Location Address945 BETHESDA DR STE 110Zanesville, OH 43701-1880
Mailing Address40 Fairland DrNitro, WV 25143-1186 · (304) 204-2430 · Fax (304) 204-2432
Phone(740) 450-6147
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 1994
Enumeration DateFebruary 16, 2007
Last NPPES UpdateApril 14, 20212 updates tracked since enumeration
NPPES CertifiedApril 14, 2021
✔ NPI 1063556074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in OH · 35.126560
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

945 BETHESDA DR STE 110, Zanesville, OH 43701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jignesh Jashawant Modi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486544897
PECOS Enrollment IDI20180820003556
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
591 services195 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
104 services95 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
83 services66 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
74 services71 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOUMAN FAROOQ MD
Internal Medicine (Infectious Disease)
945 BETHESDA DR STE 110
ZANESVILLE, OH 43701
Muskingum County (740) 454-5962

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jignesh Modi's NPI number?

The NPI number for Jignesh Modi is 1063556074. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Jignesh Modi located?

Jignesh Modi practices at 945 Bethesda Dr Ste 110, Zanesville, OH 43701. The listed phone number is (740) 450-6147.

What is Jignesh Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Jignesh Modi enrolled in Medicare?

Yes. Jignesh Modi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jignesh Modi accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Jignesh Modi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jignesh Modi affiliated with any hospitals?

According to CMS data, Jignesh Modi is affiliated with Genesis Hospital and Marietta Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jignesh Modi was last updated on April 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.