Doctor profile · Federal record
Dr. Falgun Modhia, MD
Hematology & Oncology Physician (CMS: Hematology/Oncology) · Hematology & Oncology Physician · Springfield, MO
- NPI 1942470414
- Accepts Medicare
- 27 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2055 S Fremont Ave Ste 1000
Springfield, MO 65804
(417) 820-8099 - Additional location
-
800 Ne 10Th St
Oklahoma City, OK 731045418
(405) 271-4022
Credentials & registration
- NPI registered
- March 2008 — 18 yrs on file
- Profile last updated
- June 6, 2019
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 207RH0003X — NUCC code
- State licenses (2)
- Missouri #2019011177 · Oklahoma #29790
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1942470414. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,477
Distinct HCPCS
10
Medicare allowed
$134,770
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
36415 |
Insertion of needle into vein for collection of blood sample | 610 | 217 | $8 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 518 | 227 | $120 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 413 | 146 | $8 | |
80053 |
Blood test, comprehensive group of blood chemicals | 395 | 141 | $10 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 148 | 52 | $76 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 118 | 55 | $168 | |
83735 |
Magnesium level | 92 | 30 | $7 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 52 | 46 | $167 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 44 | 44 | $207 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 32 | 22 | $114 |
In context: peer comparison
Among 7 peers in Springfield Hematology & Oncology Physician, average services per provider: 207. This provider delivers 12× the peer median.Open Payments
Industry payments received
All-time total
$139
Transactions
7
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novartis Pharmaceuticals Corporation | 4 | $91.01 | |
| Tempus Ai, INC | 1 | $18.91 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $15.38 | |
| Lilly USA, LLC | 1 | $13.94 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
794
Patients
158
Total drug cost
$2,691,056
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Potassium Chloride | Generic | 94 | 39 | $1,109 |
| Letrozole | Generic | 87 | 25 | $4,312 |
| Prednisone | Generic | 73 | 22 | $391 |
| Hydroxyurea | Generic | 65 | 19 | $2,534 |
| Allopurinol | Generic | 57 | 17 | $667 |
| Levothyroxine Sodium | Generic | 51 | 12 | $411 |
| Abiraterone Acetate | Generic | 49 | 11 | $225,323 |
| Gabapentin | Generic | 49 | 0 | $557 |
| Calquence (Acalabrutinib Maleate) | Brand | 45 | 0 | $577,258 |
| Tamoxifen Citrate | Generic | 43 | 13 | $1,026 |
Frequently asked questions
What is Dr. Falgun Modhia's medical specialty?
Dr. Falgun Modhia practices Hematology & Oncology Physician in Springfield, MO.
Where does Dr. Falgun Modhia practice?
Dr. Falgun Modhia practices at 2055 S Fremont Ave Ste 1000, Springfield, MO 65804. Office phone: 4178208099.
What is Dr. Falgun Modhia's NPI?
Dr. Falgun Modhia's National Provider Identifier (NPI) is 1942470414, issued by NPPES.
Does Dr. Falgun Modhia accept Medicare assignment?
Yes. Dr. Falgun Modhia accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Falgun Modhia commonly perform?
Top Medicare-reported procedures in 2023: Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99214); Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS 85025). Source: CMS Medicare Physician & Other Practitioners file.