VARUN MODI MD
NPI 1295126670
Internal Medicine - Hematology & Oncology in Middletown, NY

Active since February 06, 2015PECOS EnrolledAccepts Medicare Assignment
81.4/100
CMS Quality Rating
707 E MAIN ST, MIDDLETOWN, NY 10940(845) 333-7575(845) 333-3641 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 4, 2020, Aug 8, 2019, Aug 14, 2018 and 1 more (4 updates tracked since 2018).

About Varun Modi Md NPPES

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

VARUN MODI MD (NPI 1295126670) is an individual hematology & oncology provider in Middletown, New York, licensed in New York (299684) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and maintains a secondary practice location in Harris.

NPPES Registry Identity

NPI1295126670
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameVARUN MODICredential: MD
Location Address707 E MAIN STMiddletown, NY 10940-2650
Mailing Address707 E Main StMiddletown, NY 10940-2650 · (845) 333-7575 · Fax (845) 333-3641
Fax(845) 333-3641
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 6, 2015
Last NPPES UpdateNovember 27, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2020
✔ NPI 1295126670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in NY · 299684✔ Licensed in MO · 2018012032
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.
707 E MAIN ST, Middletown, NY 10940

Secondary Practice Location 1

Location 168 Harris Bushville RdHarris, NY 12742 · Phone (845) 794-3341 · Fax (845) 794-3349

Other Identifiers 1

Medicaid1295126670MO

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

Varun 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 ID446511570
PECOS Enrollment IDI20190712001584
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 70

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, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
32,250 services24 patients
Injection, iron sucrose, 1 mg J1756
Iron sucrose injection is a treatment given to replenish iron in your body, often used when oral iron supplements are not effective. This helps your body make red blood cells, improving health and energy levels.
23,600 services32 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
2,152 services48 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,612 services377 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
1,506 services379 patients
Flow cytometry technique for dna or cell analysis, each additional marker 88185
Flow cytometry is a technique that helps analyze the physical and chemical characteristics of cells or particles. When an additional marker is used, it aids in identifying specific cell types or stages of disease. This helps in precise diagnosis and treatment planning.
1,472 services63 patients

Hospital Affiliations CMS Care Compare 3

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330264
Location70 Dubois StreetNewburgh, NY 12550 · Orange County
Emergency services Birthing friendly

Garnet Health Medical Center Catskills

Acute Care Hospitals · Harris, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330386
Location68 Harris Bushville Road, P O Box 800Harris, NY 12742 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10940 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
$187.05 typical visit price
range $61.88 – $187.05
Typical copayment $46.76 (range $15.47 – $46.76)
Most-billed visit code 99205
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

81.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.67
Promoting Interoperability100
Improvement Activities40
Cost55.11

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.

Surgery (Surgical Critical Care)
707 E MAIN ST
MIDDLETOWN, NY 10940
Internal Medicine (Pulmonary Disease)
707 E MAIN ST
MIDDLETOWN, NY 10940
Emergency Medicine
707 E MAIN ST
MIDDLETOWN, NY 10940
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940
Dietitian, Registered
707 E MAIN ST
MIDDLETOWN, NY 10940
Physician Assistant (Medical)
707 E MAIN ST
MIDDLETOWN, NY 10940
Radiology (Radiation Oncology)
707 E MAIN ST
MIDDLETOWN, NY 10940
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940

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 Varun Modi's NPI number?

The NPI number for Varun Modi is 1295126670. It was assigned to this individual provider in the NPPES registry on February 6, 2015.

Where is Varun Modi located?

Varun Modi practices at 707 E Main St, Middletown, NY 10940. The listed phone number is (845) 333-7575.

What is Varun Modi's specialty?

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

Is Varun Modi enrolled in Medicare?

Yes. Varun 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.

Is Varun Modi affiliated with any hospitals?

According to CMS data, Varun Modi is affiliated with Garnet Health Medical Center, St Luke's Cornwall Hospital and Garnet Health Medical Center Catskills.

When was this NPI record last updated?

The NPPES record for Varun Modi was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.