DR. DIMPLE MODI MD
NPI 1205032844
Ophthalmology - Retina Specialist in Rome, GA

Q: What is Dimple Modi's NPI number?

The NPI number for Dimple Modi is 1205032844. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Q: What is Dimple Modi's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Dimple Modi was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 21, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

550 REDMOND RD NW, ROME, GA 30165(762) 235-3200(706) 233-8503 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2020, Apr 22, 2020, Oct 9, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Dr. Dimple Modi Md NPPES

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

DR. DIMPLE MODI MD (NPI 1205032844) is an individual retina specialist in Rome, Georgia, licensed in Georgia (068678) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Snellville, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2007).

NPPES Registry Identity

NPI1205032844

Entity TypeIndividualFemale

Primary Taxonomy207WX0107X

Provider Legal NameDR. DIMPLE MODICredential: MD

Location Address550 REDMOND RD NWRome, GA 30165-1416

Mailing Address221 Technology Pkwy NwRome, GA 30165-1369 · (762) 235-1000

Phone(762) 235-3200

Fax(706) 233-8503

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2007

Enumeration DateJune 21, 2007

Last NPPES UpdateJuly 8, 20204 updates tracked since enumeration

NPPES CertifiedJuly 8, 2020

✔ NPI 1205032844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in GA · 068678

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 068678 (GA)

550 REDMOND RD NW, Rome, GA 30165

Open in Google Maps ↗

Secondary Practice Location 1

Location 12377 Lenora Church RdSnellville, GA 30078-3232 · Phone (770) 979-2020 · Fax (770) 978-3321

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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. Dimple 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 ID8123298346

PECOS Enrollment IDI20121205000295

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 9

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

21,362 services56 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

2,665 services267 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

1,784 services318 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.

1,456 services346 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

1,256 services432 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

858 services376 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30165 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

100

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.

ASHLEY NICOLE WILBANKS NP-C

Nurse Practitioner

550 REDMOND RD NW, SUITE A
ROME, GA 30165

Floyd County (706) 233-8506

SONIA ELIZABETH TURNER FNP-BC

Nurse Practitioner