MONICA NITIN MODI
NPI 1619116605
Obstetrics & Gynecology in Gastonia, NC

Active since February 13, 2009PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
620 SUMMIT CROSSING PL STE 108A, GASTONIA, NC 28054(704) 865-7416(704) 865-2811 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2024, Jul 29, 2019, Jan 14, 2016 (3 updates tracked since 2016).

About Monica Nitin Modi NPPES

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

MONICA NITIN MODI (NPI 1619116605) is an individual obstetrics & gynecology provider in Gastonia, North Carolina, licensed in North Carolina (2022-01830) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1619116605
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMONICA NITIN MODI
Location Address620 SUMMIT CROSSING PL STE 108AGastonia, NC 28054-2189
Mailing AddressPo Box 744786Atlanta, GA 30374-4786 · (704) 834-2450 · Fax (704) 671-5331
Fax(704) 865-2811
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 13, 2009
Last NPPES UpdateFebruary 17, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
NPI 1619116605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NC · 2022-01830
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License A150637 (CA)
620 SUMMIT CROSSING PL STE 108A, Gastonia, NC 28054

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

Monica Nitin Modi 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 ID5890007025
PECOS Enrollment IDI20220810003218
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.

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
78%27 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
72%25 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Obstetrics & Gynecology
620 SUMMIT CROSSING PL STE 108A
GASTONIA, NC 28054
Obstetrics & Gynecology
620 SUMMIT CROSSING PL STE 108A
GASTONIA, NC 28054
Obstetrics & Gynecology
620 SUMMIT CROSSING PL STE 108A
GASTONIA, NC 28054
Advanced Practice Midwife
620 SUMMIT CROSSING PL STE 108A
GASTONIA, NC 28054
Obstetrics & Gynecology
620 SUMMIT CROSSING PL STE 108A
GASTONIA, NC 28054
Obstetrics & Gynecology
620 SUMMIT CROSSING PL STE 108A
GASTONIA, NC 28054
Physician Assistant (Surgical)
620 SUMMIT CROSSING PL STE 108A
GASTONIA, NC 28054
Obstetrics & Gynecology
620 SUMMIT CROSSING PL STE 108A
GASTONIA, NC 28054

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 Monica Modi's NPI number?

The NPI number for Monica Modi is 1619116605. It was assigned to this individual provider in the NPPES registry on February 13, 2009.

Where is Monica Modi located?

Monica Modi practices at 620 Summit Crossing Pl Ste 108A, Gastonia, NC 28054. The listed phone number is (704) 865-7416.

What is Monica Modi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Monica Modi enrolled in Medicare?

Yes. Monica 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 Monica Modi accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Monica 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 Monica Modi affiliated with any hospitals?

According to CMS data, Monica Modi is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Monica Modi was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.