Doctor profile · Federal record
Dr. Tejas Modi, M.D.
Hematology & Oncology Physician (CMS: Hematology/Oncology) · Madisonville, KY
- NPI 1912245267
- Accepts Medicare
- MIPS 94.8 / 100 · 2023
- 19 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
900 Hospital Dr
Madisonville, KY 424311644
(270) 825-5800
fax (270) 825-5810
Credentials & registration
- NPI registered
- January 2013 — 13 yrs on file
- Profile last updated
- December 4, 2020
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 207RH0003X — NUCC code
- State license (1)
- Kentucky #4933
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1912245267. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,587
Distinct HCPCS
10
Medicare allowed
$147,532
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 1,064 | 325 | $91 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 202 | 48 | $75 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 68 | 68 | $126 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 67 | 27 | $116 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 51 | 32 | $62 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 45 | 32 | $133 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 43 | 38 | $123 | |
99406 |
Smoking and tobacco use intensive counseling, 4-10 minutes | 17 | 16 | $11 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 15 | 15 | $171 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 15 | 11 | $113 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 162. This provider delivers 9.8× the peer median.Open Payments
Industry payments received
All-time total
$403
Transactions
20
Manufacturers
13
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 3 | $67.15 | |
| Novartis Pharmaceuticals Corporation | 3 | $60.98 | |
| Tempus AI, Inc | 2 | $57.60 | |
| Daiichi Sankyo Inc. | 2 | $49.77 | |
| PFIZER INC. | 2 | $31.33 | |
| Celgene Corporation | 1 | $20.65 | |
| Ipsen Biopharmaceuticals, Inc | 1 | $20.07 | |
| PUMA BIOTECHNOLOGY, INC. | 1 | $18.96 | |
| GENZYME CORPORATION | 1 | $18.02 | |
| PharmaEssentia USA Corporation | 1 | $15.64 | |
| Astellas Pharma US Inc | 1 | $15.59 | |
| Regeneron Healthcare Solutions, Inc. | 1 | $14.12 | |
| GlaxoSmithKline, LLC. | 1 | $13.57 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
942
Patients
274
Total drug cost
$964,203
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ondansetron Hcl | Generic | 135 | 66 | $1,896 |
| Anastrozole | Generic | 108 | 30 | $3,078 |
| Potassium Chloride | Generic | 93 | 47 | $1,030 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 64 | 25 | $1,895 |
| Hydroxyurea | Generic | 64 | 11 | $1,827 |
| Calquence (Acalabrutinib Maleate) | Brand | 63 | 0 | $912,838 |
| Tamoxifen Citrate | Generic | 60 | 15 | $2,412 |
| Olanzapine | Generic | 53 | 18 | $181 |
| Folic Acid | Generic | 51 | 21 | $147 |
| Morphine Sulfate Er (Morphine Sulfate) | Brand | 49 | 12 | $1,381 |
Hospital affiliations
Frequently asked questions
What is Dr. Tejas Modi's medical specialty?
Dr. Tejas Modi practices Hematology & Oncology Physician in Madisonville, KY.
Where does Dr. Tejas Modi practice?
Dr. Tejas Modi practices at 900 Hospital Dr, Madisonville, KY 424311644. Office phone: 2708255800.
What is Dr. Tejas Modi's NPI?
Dr. Tejas Modi's National Provider Identifier (NPI) is 1912245267, issued by NPPES.
Does Dr. Tejas Modi accept Medicare assignment?
Yes. Dr. Tejas Modi accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tejas Modi commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.