MAYUR D MODY M.D.
NPI 1255751277
Internal Medicine - Hematology & Oncology in Calhoun, GA

Q: What is Mayur Mody's NPI number?

The NPI number for Mayur Mody is 1255751277. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Q: What is Mayur Mody's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Mayur Mody was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 17, 2014PECOS EnrolledAccepts Medicare Assignment

83.08/100

CMS Quality Rating

1035 RED BUD RD NE STE 101, CALHOUN, GA 30701(706) 625-4285(706) 625-3905 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2021, Jul 25, 2018 (2 updates tracked since 2018).

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About Mayur D Mody M.d. NPPES

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

MAYUR D MODY M.D. (NPI 1255751277) is an individual hematology & oncology provider in Calhoun, Georgia, licensed in Georgia (76548) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of University Of Florida College Of Medicine (2014).

NPPES Registry Identity

NPI1255751277

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameMAYUR D MODYCredential: M.D.

Location Address1035 RED BUD RD NE STE 101Calhoun, GA 30701-6011

Mailing AddressPo Box 12938, C/o Clinic ManagementCalhoun, GA 30703 · (706) 602-7800

Phone(706) 625-4285

Fax(706) 625-3905

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 2014

Enumeration DateApril 17, 2014

Last NPPES UpdateNovember 4, 20212 updates tracked since enumeration

NPPES CertifiedNovember 4, 2021

✔ NPI 1255751277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in GA · 76548

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1035 RED BUD RD NE STE 101, Calhoun, GA 30701

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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

Mayur D Mody 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 ID5193028884

PECOS Enrollment IDI20170815002671

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.

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.

504 services282 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

84 services56 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.

80 services76 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

60 services60 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.

40 services35 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.

31 services31 patients

Hospital Affiliations CMS Care Compare 5

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110001

Location1200 Memorial DriveDalton, GA 30720 · Whitfield County

Birthing friendly

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number110023

Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County

Birthing friendly

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA

OwnershipVoluntary non-profit - Private

CMS Certification Number110050

Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County

Emergency services

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110054

Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County

Birthing friendly

Redmond Regional Medical Center

Acute Care Hospitals · Rome, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110168

Location501 Redmond Road NWRome, GA 30165 · Floyd County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30701 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

$164.04 typical visit price

range $53.31 – $164.04

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

Most-billed visit code 99205

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

83.08/100

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

Scored as part of a group practice

Quality

68.9

Promoting Interoperability

100

Improvement Activities

Cost

69.57

Other Providers at the Same Location NPPES 3

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

CRYSTAL RENEA TOWNSEND FNP-C

Nurse Practitioner (Family)

1035 RED BUD RD NE STE 101
CALHOUN, GA 30701

Gordon County (706) 625-4285

SHANNA BROOKE GUESS APRN

Nurse Practitioner (Family)

1035 RED BUD RD NE STE 101
CALHOUN, GA 30701

Gordon County (706) 625-4285

TERRILYN LAMB BLACKSTOCK NP

Nurse Practitioner (Acute Care)

1035 RED BUD RD NE STE 101
CALHOUN, GA 30701

Gordon County (706) 625-4285

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 Mayur Mody's NPI number?

The NPI number for Mayur Mody is 1255751277. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Where is Mayur Mody located?

Mayur Mody practices at 1035 Red Bud Rd NE Ste 101, Calhoun, GA 30701. The listed phone number is (706) 625-4285.

What is Mayur Mody's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Mayur Mody enrolled in Medicare?

Yes. Mayur Mody 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 Mayur Mody accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Mayur Mody 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 Mayur Mody affiliated with any hospitals?

According to CMS data, Mayur Mody is affiliated with Hamilton Medical Center, Adventhealth Gordon, Adventhealth Murray, Atrium Health Floyd Medical Center and Redmond Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mayur Mody was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.