Doctor profile · Federal record
Dr. Chintan Modi, M.D.
Gastroenterology Physician (CMS: Gastroenterology) · Internal Medicine Physician · Edison, NJ
- NPI 1649506932
- Accepts Medicare
- MIPS 86.2 / 100 · 2023
- 23 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
98 James Street, # 200
Edison, NJ 08820
(732) 243-9695 - Mailing address
-
331 Newman Springs RD Ste 220
Red Bank, NJ 077015792
Credentials & registration
- NPI registered
- October 2009 — 17 yrs on file
- Profile last updated
- September 10, 2024
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State licenses (2)
- New Jersey #25 MA 086 37300 · New Jersey #25MA08637300
- Medicaid
- NJ #0216844
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1649506932. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,187
Distinct HCPCS
10
Medicare allowed
$370,584
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,406 | 234 | $86 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 403 | 272 | $142 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 215 | 86 | $129 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 177 | 149 | $141 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 175 | 149 | $101 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 161 | 161 | $185 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 130 | 126 | $136 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 117 | 24 | $54 | |
G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk | 96 | 96 | $198 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 93 | 84 | $188 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 123. This provider delivers 26× the peer median.Open Payments
Industry payments received
All-time total
$5,991
Transactions
10
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Madrigal Pharmaceuticals | 3 | $4,896.59 | |
| Ardelyx, Inc. | 1 | $1,000.00 | |
| PFIZER INC. | 2 | $28.73 | |
| Lilly USA, LLC | 1 | $19.85 | |
| Gilead Sciences, Inc. | 1 | $17.78 | |
| Celgene Corporation | 1 | $14.33 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 1 | $13.49 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,064
Patients
804
Total drug cost
$355,572
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Famotidine | Generic | 795 | 275 | $22,107 |
| Lactulose | Generic | 218 | 78 | $35,138 |
| Sucralfate | Generic | 163 | 59 | $5,058 |
| Pantoprazole Sodium | Generic | 140 | 66 | $1,615 |
| Dicyclomine Hcl | Generic | 139 | 51 | $3,100 |
| Linzess (Linaclotide) | Brand | 135 | 44 | $134,084 |
| Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 97 | 94 | $1,556 |
| Creon (Lipase/Protease/Amylase) | Brand | 87 | 16 | $143,324 |
| Omeprazole | Generic | 51 | 0 | $548 |
| Amitriptyline Hcl | Generic | 50 | 16 | $427 |
Hospital affiliations
Frequently asked questions
What is Dr. Chintan Modi's medical specialty?
Dr. Chintan Modi practices Gastroenterology Physician in Edison, NJ.
Where does Dr. Chintan Modi practice?
Dr. Chintan Modi practices at 98 James Street, Edison, NJ 08820. Office phone: 7322439695.
What is Dr. Chintan Modi's NPI?
Dr. Chintan Modi's National Provider Identifier (NPI) is 1649506932, issued by NPPES.
Does Dr. Chintan Modi accept Medicare assignment?
Yes. Dr. Chintan Modi accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Chintan Modi commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99214); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.