Doctor profile · Federal record
Dr. Achal Modi, MD
Urology Physician (CMS: Urology) · Urology Physician · Waxahachie, TX
- NPI 1255540514
- Accepts Medicare
- 20 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2360 N I 35 Ste 310
Waxahachie, TX 751655336
(469) 800-9930
fax (469) 800-9940
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- February 13, 2026
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 208800000X — NUCC code
- State licenses (2)
- Texas #N9270 · Ohio #57012170
- Medicaid (2)
- TX #282992103 · TX #282992105
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1255540514. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,190
Distinct HCPCS
10
Medicare allowed
$176,770
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 675 | 477 | $122 | |
81003 |
Automated urinalysis test | 653 | 489 | $2 | |
51798 |
Ultrasound measurement of bladder capacity after voiding | 402 | 329 | $10 | |
36415 |
Insertion of needle into vein for collection of blood sample | 241 | 205 | $8 | |
84153 |
Psa (prostate specific antigen) measurement, total | 220 | 187 | $18 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 186 | 186 | $159 | |
87086 |
Bacterial colony count, urine | 163 | 121 | $8 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 114 | 103 | $87 | |
87077 |
Bacterial culture for aerobic isolates | 95 | 67 | $8 | |
52000 |
Diagnostic exam of bladder and urethra using an endoscope | 92 | 84 | $228 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 959. This provider delivers 3.3× the peer median.Open Payments
Industry payments received
All-time total
$434
Transactions
5
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 4 | $275.68 | |
| PROCEPT BioRobotics Corporation | 1 | $158.52 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,621
Patients
1,392
Total drug cost
$143,668
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tamsulosin Hcl | Generic | 899 | 397 | $19,905 |
| Finasteride | Generic | 645 | 270 | $11,471 |
| Doxycycline Hyclate | Generic | 240 | 182 | $4,207 |
| Oxybutynin Chloride | Generic | 143 | 81 | $3,220 |
| Myrbetriq (Mirabegron) | Brand | 119 | 44 | $92,213 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 83 | 68 | $215 |
| Amoxicillin | Generic | 73 | 48 | $173 |
| Acetaminophen-Codeine (Acetaminophen With Codeine) | Brand | 66 | 64 | $372 |
| Estradiol | Generic | 64 | 49 | $6,227 |
| Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) | Brand | 64 | 37 | $983 |
Hospital affiliations
Frequently asked questions
What is Dr. Achal Modi's medical specialty?
Dr. Achal Modi practices Urology Physician in Waxahachie, TX.
Where does Dr. Achal Modi practice?
Dr. Achal Modi practices at 2360 N I 35 Ste 310, Waxahachie, TX 751655336. Office phone: 4698009930.
What is Dr. Achal Modi's NPI?
Dr. Achal Modi's National Provider Identifier (NPI) is 1255540514, issued by NPPES.
Does Dr. Achal Modi accept Medicare assignment?
Yes. Dr. Achal Modi accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Achal Modi commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Automated urinalysis test (HCPCS 81003); Ultrasound measurement of bladder capacity after voiding (HCPCS 51798). Source: CMS Medicare Physician & Other Practitioners file.