DR. RITU MODI M.D
NPI 1073920286
Internal Medicine - Pulmonary Disease in Greenville, NC

Active since July 20, 2014PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
521 MOYE BLVD, GREENVILLE, NC 27834(252) 744-1600(252) 744-1115 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 4, 2020, Nov 13, 2020 (2 updates tracked since 2020).

About Dr. Ritu Modi M.d NPPES

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

DR. RITU MODI M.D (NPI 1073920286) is an individual pulmonary disease provider in Greenville, North Carolina, licensed in North Carolina (2020-03210) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1073920286
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RITU MODICredential: M.D
Location Address521 MOYE BLVDGreenville, NC 27834-2849
Mailing AddressPo Box 751069Charlotte, NC 28275-1069
Fax(252) 744-1115
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 20, 2014
Last NPPES UpdateFebruary 21, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2024
NPI 1073920286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NC · 2020-03210
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 2020-03210 (NC)
521 MOYE BLVD, Greenville, NC 27834

Accepted 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

Dr. Ritu Modi M.d 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 ID1254742430
PECOS Enrollment IDI20201118002679
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
96 services53 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.
36 services29 patients
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.
31 services23 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.
26 services22 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
14 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$114.17 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier22 claims22 services$36.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
521 MOYE BLVD
GREENVILLE, NC 27834
Internal Medicine
521 MOYE BLVD
GREENVILLE, NC 27834
Internal Medicine (Pulmonary Disease)
521 MOYE BLVD
GREENVILLE, NC 27834
Internal Medicine
521 MOYE BLVD
GREENVILLE, NC 27834
Internal Medicine (Pulmonary Disease)
521 MOYE BLVD
GREENVILLE, NC 27834
Student in an Organized Health Care Education/Training Program
521 MOYE BLVD
GREENVILLE, NC 27834
Internal Medicine
521 MOYE BLVD
GREENVILLE, NC 27834
Internal Medicine (Pulmonary Disease)
521 MOYE BLVD
GREENVILLE, NC 27834

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 Ritu Modi's NPI number?

The NPI number for Ritu Modi is 1073920286. It was assigned to this individual provider in the NPPES registry on July 20, 2014.

Where is Ritu Modi located?

Ritu Modi practices at 521 Moye Blvd, Greenville, NC 27834. The listed phone number is (252) 744-1600.

What is Ritu Modi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ritu Modi enrolled in Medicare?

Yes. Ritu 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 Ritu Modi accept?

Health plans from Blue Cross and Blue Shield of NC list Ritu 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 Ritu Modi affiliated with any hospitals?

According to CMS data, Ritu Modi is affiliated with Ecu Health Medical Center.

When was this NPI record last updated?

The NPPES record for Ritu Modi was last updated on February 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.