DR. RISHI ASHOK MODH (M.D.) – Urology Physician, NPI 1033401997
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
897 UROLOGY in FL
Provider Addresses for DR. RISHI ASHOK MODH (M.D.)
12109 COUNTY ROAD 103
OXFORD, FL 344842951
Phone: (352) 205-8981
Fax: (352) 391-6498
Type: Mailing
5747 38TH AVE N
ST PETERSBURG, FL 337101925
Phone: (727) 381-8667
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 148 Open Payments records for all available years, with a total value of $3,112.
Total Amount is formed as General ($3,112) + Research ($0) + Ownership ($0) = $3,112.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($411).
Total Amount
$3,112
General + Research + Ownership
Payments
148
Total payment records
General Amount
$3,112
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
3
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $411 |
| ABBVIE INC. | $361 |
| Axonics, Inc. | $199 |
| PROCEPT BioRobotics Corporation | $182 |
| Dendreon Pharmaceuticals LLC | $135 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161028001192 | I | Urology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81001 | Manual urinalysis test with examination using microscope, automated | 758 | 371 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 655 | 334 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 150 | 66 | $0 |
| 76775 | Limited ultrasound scan behind abdominal cavity | 126 | 103 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 114 | 80 | $0 |
Insurance plans in this area (ZIP 34484)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| U R O L O G Y | FL | |
| - | FL | |
| U R O L O G Y | MA | |
| U R O L O G Y | FL | |
| U R O L O G Y | FL | |
| Nurse Practitioner | FL | |
| U R O L O G Y | FL |
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