Dr. Jay Modi , DO
Hospitalist โข Athens, GA
1199 Prince Ave
Athens, GA 306062797
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on March 22, 2017; this date does not establish years in practice.
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Published CMS data list 1,077 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99233 โ Subsequent hospital care with moderate levelof medical decision making: 568 service units.
- 99239 โ Hospital discharge day management: 210 service units.
- 99223 โ Initial hospital care with moderate level of medical decision making: 128 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 275 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Prednisone โ 30 prescription fills, including refills.
- Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) โ 27 prescription fills, including refills.
- Eliquis (Apixaban) โ 25 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 17 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 85% of clinicians listed under Hospitalist in Athens, GA (2024, 40 clinicians with data). Median for this group: 771. Middle half: 545 to 885.
More Medicare Part B services than 90% of clinicians listed under Hospitalist in Georgia (2024, 788 clinicians with data). Median for this group: 553. Middle half: 276 to 765.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 340 in 2020 to 1,077 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1199 Prince Ave
Athens, GA 306062797
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Canton, GA; Jasper, GA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Piedmont Hospitalist Physicians Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Lincoln Memorial University Medical Department
2017
What Public CMS Data Show
Hospitalist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
344 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $122,700 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $96,446 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
404 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$29,541 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $31.27 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
9 years (graduated 2017)
CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Dr. Modi has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Modi as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Athens and Georgia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 85% of clinicians listed under Hospitalist in Athens, GA (2024, 40 clinicians with data). Median for this group: 771. Middle half: 545 to 885.
More Medicare Part B services than 90% of clinicians listed under Hospitalist in Georgia (2024, 788 clinicians with data). Median for this group: 553. Middle half: 276 to 765.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Hospitalist in Athens, GA (2024, 40 clinicians with data). Median for this group: $91,106. Middle half: $62,330 to $103,873.
A higher Medicare-allowed amount than 90% of clinicians listed under Hospitalist in Georgia (2024, 788 clinicians with data). Median for this group: $56,224. Middle half: $31,317 to $81,267.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Hospitalist in Athens, GA (2024, 40 clinicians with data). Median for this group: $72,152. Middle half: $49,154 to $83,131.
A higher Medicare payment amount than 90% of clinicians listed under Hospitalist in Georgia (2024, 788 clinicians with data). Median for this group: $43,798. Middle half: $24,594 to $63,883.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Hospitalist in Athens, GA (2024, 36 clinicians with data). Median for this group: 200. Middle half: 116 to 284.
More Part D prescriptions than 75% of clinicians listed under Hospitalist in Georgia (2024, 625 clinicians with data). Median for this group: 118. Middle half: 52 to 247.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Hospitalist in Athens, GA (2024, 36 clinicians with data). Median for this group: $11,769. Middle half: $861 to $21,905.
A higher Part D drug cost than 85% of clinicians listed under Hospitalist in Georgia (2024, 625 clinicians with data). Median for this group: $8,682. Middle half: $534 to $16,051.
49 active clinicians are listed under Hospitalist with a practice address in Athens, GA (967 in Georgia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Athens
0% of these 49 clinicians have the CMS telehealth indicator.
85.7% of these 49 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 217% from 340 in 2020 to 1,077 in 2024.
- 2020: 340
- 2021: 678
- 2022: 821
- 2023: 1,190
- 2024: 1,077
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Medicare-allowed amount
Medicare-allowed amount increased 298% from $30,831 in 2020 to $122,700 in 2024.
- 2020: $30,831
- 2021: $60,228
- 2022: $88,541
- 2023: $138,153
- 2024: $122,700
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Paid by Medicare
Paid by Medicare increased 298% from $24,220 in 2020 to $96,446 in 2024.
- 2020: $24,220
- 2021: $47,144
- 2022: $70,634
- 2023: $109,292
- 2024: $96,446
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 170% from 102 in 2021 to 275 in 2024.
- 2021: 102
- 2022: 41
- 2023: 291
- 2024: 275
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30-day fills
30-day fills increased 250% from 115 in 2021 to 404 in 2024.
- 2021: 115
- 2022: 43
- 2023: 474
- 2024: 404
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Part D drug cost
Part D drug cost increased 333% from $6,825 in 2021 to $29,541 in 2024.
- 2021: $6,825
- 2022: $585
- 2023: $16,523
- 2024: $29,541
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $30.50 in 2024 to $31.27 in 2025.
- 2024: $30.50
- 2025: $31.27
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $31.27.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) |
Food and Beverage
Cash or cash equivalent
|
LifeVest | General | $31.27 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2020โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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568 | 225 | $355.00 | $112.05 |
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99239
Hospital discharge day management, more than 30 minutes
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210 | 200 | $366.00 | $107.35 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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128 | 124 | $691.00 | $163.70 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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125 | 72 | $249.00 | $74.37 |
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99291
Critical care, first 30-74 minutes
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30 | 28 | $762.00 | $202.79 |
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99406
Smoking and tobacco use intensive counseling, 4-10 minutes
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16 | 16 | $43.00 | $11.15 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisone | Prednisone | 30 | 218 | $86.46 | 29 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 27 | 115 | $149.93 | 26 |
| Eliquis | Apixaban | 25 | 729 | $14,521.87 | 20 |
| Pantoprazole Sodium | Pantoprazole Sodium | 23 | 1,470 | $293.49 | 23 |
| Losartan Potassium | Losartan Potassium | 17 | 932 | $105.82 | 13 |
| Metoprolol Succinate | Metoprolol Succinate | 17 | 866 | $163.86 | โ |
| Ondansetron Odt | Ondansetron | 15 | 92 | $110.43 | 15 |
| Tramadol Hcl | Tramadol Hcl | 13 | 58 | $33.42 | 13 |
| Xarelto | Rivaroxaban | 13 | 658 | $13,424.95 | 11 |
| Carvedilol | Carvedilol | 13 | 495 | $110.28 | 11 |
| Metoprolol Tartrate | Metoprolol Tartrate | 12 | 581 | $73.08 | โ |
| Atorvastatin Calcium | Atorvastatin Calcium | 12 | 900 | $67.23 | โ |
| Clopidogrel | Clopidogrel Bisulfate | 12 | 588 | $114.48 | 11 |
| Furosemide | Furosemide | 12 | 717 | $48.60 | 12 |
| Cefuroxime | Cefuroxime Axetil | 12 | 64 | $91.04 | 12 |
| Potassium Chloride | Potassium Chloride | 11 | 195 | $80.09 | 11 |
| Cefdinir | Cefdinir | 11 | 49 | $65.75 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-08-01NUCC Taxonomy Code: 208M00000X
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20200708001737
GA
2860762564
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Piedmont Hospitalist Physicians Llc
1968 Peachtree Rd Nw, Atlanta, GA 303091281
Phone: 4046055000
Secondary Practice Locations
450 Northside Cherokee Blvd
Canton, GA 301158015
Phone: 7702241000
1266 Highway 515 S
Jasper, GA 301434872
Phone: 4043673014
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Hospitalist
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner
Internal Medicine
Doctor of Osteopathic Medicine (D.O.), FACP
Family Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1199 PRINCE AVE, ATHENS, GA 306062797 (Tel: 7064755076)
Additional practice office at 1266 Highway 515 S, Jasper, GA 301434872
Additional practice office at 450 Northside Cherokee Blvd, Canton, GA 301158015
Recorded as JAY MODI, DO
Internal Medicine (license number reported to NPPES: GA 85513)
Registered at 450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 301158015 (Tel: 7702241000)
Hospitalist (license number reported to NPPES: GA 85513)
NPI status registered as active in NPPES database
Registered at 665 DULUTH HWY, SUITE 401, LAWRENCEVILLE, GA 300463328 (Tel: 2094815985)
Registered at PO BOX 1190, LAWRENCEVILLE, GA 300461190
Recorded as JAY MODI
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Hospitalists in Athens
- Dr. Craig Sampson, MD
- Dr. Samuel Dadzie, MD
- Dr. Alfred Rathinam, MD
- Dr. Zahraa Rabeeah, MD
- Dr. Lisa Fowlkes, MD
- Kevin Patel
Mailing Address
Po Box 1190
Lawrenceville, GA 300461190