Doctor profile · Federal record
Dr. Payal Modi, MD
Emergency Medicine Physician (CMS: Emergency Medicine) · Worcester, MA
- NPI 1306166301
- Accepts Medicare
- MIPS 89.0 / 100 · 2023
- 16 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
55 Lake Ave N
Worcester, MA 016550002
(508) 421-1400
fax (508) 421-1490 - Mailing address
-
25 Saint Marys St
Newton, MA 024621018
Credentials & registration
- NPI registered
- June 2010 — 16 yrs on file
- Profile last updated
- August 30, 2023
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State license (1)
- Massachusetts #258647
- Medicaid
- MA #110100054A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1306166301. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
99
Distinct HCPCS
3
Medicare allowed
$16,297
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 57 | 56 | $178 | |
99284 |
Emergency department visit with moderate level of medical decision making | 31 | 31 | $122 | |
99291 |
Critical care, first 30-74 minutes | 11 | 11 | $216 |
In context: peer comparison
Among 82 peers in Worcester Emergency Medicine Physician, average services per provider: 70. This provider delivers 1.4× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Payal Modi's medical specialty?
Dr. Payal Modi practices Emergency Medicine Physician in Worcester, MA.
Where does Dr. Payal Modi practice?
Dr. Payal Modi practices at 55 Lake Ave N, Worcester, MA 016550002. Office phone: 5084211400.
What is Dr. Payal Modi's NPI?
Dr. Payal Modi's National Provider Identifier (NPI) is 1306166301, issued by NPPES.
Does Dr. Payal Modi accept Medicare assignment?
Yes. Dr. Payal Modi accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Payal Modi commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with moderate level of medical decision making (HCPCS 99284); Critical care (HCPCS 99291). Source: CMS Medicare Physician & Other Practitioners file.