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DR. KETAN R MODY M.D.
NPI 1659562585
Family Medicine - Sports Medicine in Westmont, IL

Active since August 06, 2007PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
760 PASQUINELLI DR STE 304, WESTMONT, IL 60559(630) 789-3764(630) 206-2490 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Ketan R Mody M.d. NPPES

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

DR. KETAN R MODY M.D. (NPI 1659562585) is an individual sports medicine provider in Westmont, Illinois, licensed in Illinois (036119306) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1659562585
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. KETAN R MODYCredential: M.D.
Location Address760 PASQUINELLI DR STE 304Westmont, IL 60559-1290
Mailing AddressPo Box 3231Oak Brook, IL 60522-3231 · (630) 789-3764 · Fax (630) 794-9998
Phone(630) 789-3764
Fax(630) 206-2490
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 6, 2007
Last NPPES UpdateJune 17, 2019
✔ NPI 1659562585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in IL · 036119306
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
760 PASQUINELLI DR STE 304, Westmont, IL 60559
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Secondary Practice Location 1

Location 12077 N Clybourn AveChicago, IL 60614-4003 · Phone (630) 789-3764

Other Identifiers 1

OtherIL2367001IL · Medicare Individual Ptan

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. Ketan R 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 ID345336814
PECOS Enrollment IDI20071013000006
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 6

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 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.
158 services73 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
116 services18 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.
49 services36 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
45 services19 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
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
27 services20 patients

Hospital Affiliations CMS Care Compare

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60559 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

ACHIEVE ORTHOPEDIC MANUAL THERAPY WESTMONT PLLC
Clinic/Center (Physical Therapy)
760 PASQUINELLI DR STE 304
WESTMONT, IL 60559
Dupage County (630) 568-3076

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 Ketan Mody's NPI number?

The NPI number for Ketan Mody is 1659562585. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Where is Ketan Mody located?

Ketan Mody practices at 760 Pasquinelli Dr Ste 304, Westmont, IL 60559. The listed phone number is (630) 789-3764.

What is Ketan Mody's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Ketan Mody enrolled in Medicare?

Yes. Ketan 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.

Is Ketan Mody affiliated with any hospitals?

According to CMS data, Ketan Mody is affiliated with Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Ketan Mody was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.