PRATIK MODI PA-C
NPI 1992133433
Physician Assistant in Augusta, GA

Q: What is Pratik Modi's NPI number?

The NPI number for Pratik Modi is 1992133433. It was assigned to this individual provider in the NPPES registry on October 18, 2013.

Q: What is Pratik Modi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Pratik Modi was last updated on November 15, 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.

Active since October 18, 2013PECOS EnrolledAccepts Medicare Assignment

77.82/100

CMS Quality Rating

1120 15TH ST, AUGUSTA, GA 30912(706) 721-8623(706) 721-1459 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Pratik Modi Pa-c NPPES

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

PRATIK MODI PA-C (NPI 1992133433) is an individual physician assistant in Augusta, Georgia, licensed in Georgia (006993) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1992133433

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NamePRATIK MODICredential: PA-C

Location Address1120 15TH STAugusta, GA 30912-1405

Mailing Address1120 15th St # Or6000Augusta, GA 30912-0004 · (706) 721-3813

Phone(706) 721-8623

Fax(706) 721-1459

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateOctober 18, 2013

Last NPPES UpdateNovember 15, 2023

NPPES CertifiedNovember 15, 2023

✔ NPI 1992133433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 006993

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 006993 (GA)

1120 15TH ST, Augusta, GA 30912

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Secondary Practice Location 1

Location 1235 Peachtree St NE Ste 2100Atlanta, GA 30303-1405 · Phone (770) 329-6318

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Molina Healthcare, UnitedHealthcare.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

Pratik Modi Pa-c 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 ID5890922330

PECOS Enrollment IDI20131209000907

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 3

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.

71 services59 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.

14 services14 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Au Medical Center

Acute Care Hospitals · Augusta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110034

Location1120 15th StreetAugusta, GA 30912 · Richmond County

Emergency services Birthing friendly

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number420082

Location302 University ParkwayAiken, SC 29801 · Aiken County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

77.82/100

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

Scored as part of a group practice

Quality

72.04

Promoting Interoperability

Improvement Activities

Cost

60.7

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.

DR. TOYA HESTER KELLEY MD

Family Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-3157

DR. JACK BRADLEY ELLIS D.O.

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

SAMI MOHAMMED ALSHEHRY

Student in an Organized Health Care Education/Training Program

1120 15TH ST, 1065
AUGUSTA, GA 30912

Richmond County (706) 721-2411

LUIS ALBERTO VELASQUEZ ZARATE M.D

Pathology (Anatomic Pathology & Clinical Pathology)

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-2771

DR. BRYAN RICHARD BROACH M.D.

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

JANELLE MCGILL M.D.

Pediatrics

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

DR. KAYLA ASHLEY SHAHBAZIAN DO

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

ROSA MARIA LOPEZ RINCON

Anesthesiology

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 446-5836

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 Pratik Modi's NPI number?

The NPI number for Pratik Modi is 1992133433. It was assigned to this individual provider in the NPPES registry on October 18, 2013.

Where is Pratik Modi located?

Pratik Modi practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-8623.

What is Pratik Modi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Pratik Modi enrolled in Medicare?

Yes. Pratik 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 Pratik Modi accept?

Health plans from Alliant Health Plans, Inc., Molina Healthcare and UnitedHealthcare list Pratik 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 Pratik Modi affiliated with any hospitals?

According to CMS data, Pratik Modi is affiliated with Au Medical Center and Aiken Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Pratik Modi was last updated on November 15, 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.