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

Q: 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.

Q: What is Monica Modi's specialty?

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

Q: 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 8 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.

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: November 01, 2026.

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

On this page

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 Caromont Regional Medical Center, 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

Phone(704) 865-7416

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Monica Modi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Caromont Medical Group Inc

Same address

Obstetrics & Gynecology

620 SUMMIT CROSSING PL STE 108A
Gastonia, NC 28054

Reassigned Medicare billing, North Carolina enrollment
673 clinicians in this Medicare group

NPI 1144510207 (704) 865-2229

Carolinas Physicians Network Inc

0.4 mi

Pediatric Cardiology

2550 COURT DR, SUITE 203
Gastonia, NC 28054

Reassigned Medicare billing, North Carolina enrollment
Also billed through NPI 1801188941 (North Carolina)
1,646 clinicians in this Medicare group

NPI 1700101128 (704) 373-0212

The Charlotte-Mecklenburg Hospital Authority

0.7 mi

Hematology

2610 ABERDEEN BLVD
Gastonia, NC 28054

Reassigned Medicare billing, North Carolina enrollment
1,534 clinicians in this Medicare group

NPI 1053805127 (980) 442-4500

Carolinas Medical Center

16 mi

Family Medicine

1801 ROZZELLES FERRY RD
Charlotte, NC 28208

Reassigned Medicare billing, North Carolina enrollment
2,223 clinicians in this Medicare group

NPI 1063567428 (704) 446-9987

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340032

Location2525 Court DrGastonia, NC 28052 · Gaston 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

Quality

84.22

Promoting Interoperability

100

Improvement Activities

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 11

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

CAROLIN HAEUSLER ROSSAVIK

Obstetrics & Gynecology