Miteshkumar N Modi , PA-C
Physician Assistant • Marion, IL
2401 W Main St
Marion, IL 629591188
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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Miteshkumar Modi is listed in NPPES under Physician Assistant.
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NPI assigned on March 15, 2007; this date does not establish years in practice.
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Published CMS data list 185 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99349 — Residence visit for established patient with moderate level of medical decision making, per day: 61 service units.
- 99350 — Residence visit for established patient with high level of medical decision making, per day: 47 service units.
- G0181 — Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow: 37 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® 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 5 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 777 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium — 136 prescription fills, including refills.
- Metformin Hcl — 98 prescription fills, including refills.
- Amlodipine Besylate — 84 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 21 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Marion, IL (2024, 15 clinicians with data). Median for this group: 399. Middle half: 100 to 537.
Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: 212. Middle half: 76 to 548.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,446 in 2018 to 185 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018–2024.
Practice Location & Contact Primary Location
2401 W Main St
Marion, IL 629591188
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Access Community Health Network; Physicians Home Care Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2005
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
47 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 – by Provider, 2024.
Medicare-allowed amount
About $19,296 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 – by Provider and Service, 2024.
Paid by Medicare
About $15,342 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 – by Provider and Service, 2024.
30-day fills
1,958 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
$73,936 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 – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
Years since graduation
21 years (graduated 2005)
CMS Doctors and Clinicians data list 2005 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.
NPI first issued
2007
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; Medicare.gov, “Does your provider accept Medicare as full payment?”
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.
Enrolled in Medicare (PECOS)
Miteshkumar 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 Miteshkumar 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 Marion and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Physician Assistant in Marion, IL (2024, 15 clinicians with data). Median for this group: 399. Middle half: 100 to 537.
Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: 212. Middle half: 76 to 548.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in Marion, IL (2024, 15 clinicians with data). Median for this group: $20,751. Middle half: $7,193 to $39,329.
Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $16,580. Middle half: $6,650 to $35,717.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in Marion, IL (2024, 15 clinicians with data). Median for this group: $15,342. Middle half: $4,652 to $29,905.
Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $12,415. Middle half: $4,894 to $26,472.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Marion, IL (2024, 15 clinicians with data). Median for this group: 214. Middle half: 52 to 577.
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: 203. Middle half: 67 to 595.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Marion, IL (2024, 15 clinicians with data). Median for this group: $1,975. Middle half: $303 to $87,689.
A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: $3,018. Middle half: $535 to $48,132.
26 active clinicians are listed under Physician Assistant with a practice address in Marion, IL (4,929 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Marion
7.7% of these 26 clinicians have the CMS telehealth indicator.
53.8% of these 26 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 decreased 87% from 1,446 in 2018 to 185 in 2024.
- 2018: 1,446
- 2019: 2,310
- 2020: 1,425
- 2022: 346
- 2024: 185
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Medicare-allowed amount
Medicare-allowed amount decreased 88% from $161,784 in 2018 to $19,296 in 2024.
- 2018: $161,784
- 2019: $250,766
- 2020: $141,495
- 2022: $18,641
- 2024: $19,296
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Paid by Medicare
Paid by Medicare decreased 88% from $130,018 in 2018 to $15,342 in 2024.
- 2018: $130,018
- 2019: $200,846
- 2020: $113,270
- 2022: $13,950
- 2024: $15,342
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 55% from 1,741 in 2020 to 777 in 2024.
- 2020: 1,741
- 2021: 702
- 2022: 883
- 2023: 507
- 2024: 777
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30-day fills
30-day fills decreased 10% from 2,179 in 2020 to 1,958 in 2024.
- 2020: 2,179
- 2021: 1,401
- 2022: 1,885
- 2023: 1,280
- 2024: 1,958
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Part D drug cost
Part D drug cost increased 29% from $57,466 in 2020 to $73,936 in 2024.
- 2020: $57,466
- 2021: $47,160
- 2022: $80,943
- 2023: $50,049
- 2024: $73,936
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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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99349
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
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61 | 23 | $190.00 | $110.00 |
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99350
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
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47 | 28 | $275.00 | $160.13 |
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G0181
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
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37 | 13 | $130.00 | $91.30 |
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G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
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21 | 19 | $65.00 | $46.89 |
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G0179
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a
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19 | 16 | $50.00 | $36.67 |
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 |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 136 | 11,760 | $1,034.88 | 62 |
| Metformin Hcl | Metformin Hcl | 98 | 7,800 | $750.39 | 38 |
| Amlodipine Besylate | Amlodipine Besylate | 84 | 6,565 | $449.44 | 34 |
| Lisinopril | Lisinopril | 65 | 4,485 | $238.72 | 25 |
| Hydrochlorothiazide | Hydrochlorothiazide | 52 | 4,110 | $217.83 | 23 |
| Losartan Potassium | Losartan Potassium | 44 | 3,900 | $493.12 | 18 |
| Levothyroxine Sodium | Levothyroxine Sodium | 37 | 2,034 | $308.73 | — |
| Metoprolol Succinate | Metoprolol Succinate | 32 | 1,860 | $333.89 | — |
| Jardiance | Empagliflozin | 30 | 2,340 | $43,298.87 | 12 |
| Enalapril Maleate | Enalapril Maleate | 26 | 2,340 | $321.94 | 11 |
| Nifedipine Er | Nifedipine | 22 | 1,980 | $1,472.43 | — |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 22 | 781 | $581.47 | — |
| Carvedilol | Carvedilol | 17 | 1,260 | $250.32 | — |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 17 | 1,350 | $796.02 | — |
| Chlorthalidone | Chlorthalidone | 16 | 1,380 | $316.96 | — |
| Januvia | Sitagliptin Phosphate | 15 | 1,230 | $22,636.50 | — |
| Naproxen | Naproxen | 14 | 480 | $116.07 | — |
| Trazodone Hcl | Trazodone Hcl | 14 | 560 | $53.37 | — |
| Tamsulosin Hcl | Tamsulosin Hcl | 13 | 1,060 | $149.10 | — |
| Ibuprofen | Ibuprofen | 12 | 108 | $42.01 | 12 |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 11 | 852 | $73.75 | — |
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
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20100319000187
IL
4385779032
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
Physicians Home Care Llc
1508 Bloomingdale Rd, Glendale Heights, IL 601392758
Phone: 3318716674
Physicians Home Care Llc
2100 Manchester Rd C -, Wheaton, IL 601875098
Access Community Health Network
7450 W 63rd St, Summit, IL 605011816
Phone: 7084580757
Physicians Home Care Llc
2100 Manchester Rd, Wheaton, IL 601875098
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
MSNFNPC
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History
NPI enumerated March 15, 2007.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Physician Assistants in Marion
- Jennifer Alexander, PA
- Sadie Sawyer, PA
- Serhiy Maslovsky, PA
- Ashton Lee, PA
- Jayna Cowsert, PA-C
- Jeri Brinkley, PA-C
Mailing Address
9835 Garden Ct
Schiller Park, IL 601762101
Phone: 8476710521