DR. FAGUNKUMAR MODI (MD) – Pulmonary Disease Physician, NPI 1619117421
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,378 INTERNAL MEDICINE in FL
Provider Addresses for DR. FAGUNKUMAR MODI (MD)
1550 N SHOCKLEY LOOP
CRYSTAL RIVER, FL 344297816
Phone: (352) 795-1999
Fax: (352) 795-2269
Type: Mailing
Tampa General Hospital Crystal River Emergency Center, 907, West Norvell Bryant Highway, Hernando, Citrus County, Florida, 34442, United States
CRYSTAL RIVER, FL 344297572
Phone: (352) 795-1999
Fax: (352) 795-2269
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 58 Open Payments records for all available years, with a total value of $7,998.
Total Amount is formed as General ($7,998) + Research ($0) + Ownership ($0) = $7,998.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($7,005).
Total Amount
$7,998
General + Research + Ownership
Payments
58
Total payment records
General Amount
$7,998
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $7,005 |
| GlaxoSmithKline, LLC. | $241 |
| Pulmonx Corporation | $144 |
| Grifols USA, LLC | $133 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $131 |
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: 2015-08-06
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 |
|---|---|---|---|---|
| I20150806011203 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,133 | 443 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 607 | 288 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 300 | 285 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 177 | 175 | $0 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 177 | 175 | $0 |
Insurance plans in this area (ZIP 34429)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | FL | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 15 | 15 |
| INTERNAL MEDICINE | FL | 94727 | Determination of lung volumes using gas dilution or washout | 140 | 139 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | FL | |
| Pulmonary Disease, Internal Medicine, Critical Care (Intensivists) | FL | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Sleep Medicine | FL | |
| - | FL | |
| Internal Medicine, Critical Care (Intensivists), Pulmonary Disease | FL |
Reviews
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