DR. DIMPLE MODI (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1205032844
Retina Specialist (Ophthalmology) Physician
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Profile Insights
NPPES metrics only — not quality of care.
570 OPHTHALMOLOGY in GA
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Provider Addresses for DR. DIMPLE MODI (MD)
221, Technology Parkway, Berryhill, Rome, Floyd County, Georgia, 30165, United States
ROME, GA 301651369
Phone: (762) 235-1000
Type: Mailing
550, Redmond Road, Mount Berry, Rome, Floyd County, Georgia, 30165, United States
ROME, GA 301651416
Phone: (762) 235-3200
Fax: (706) 233-8503
Type: Location
2377 Lenora Church Rd
Snellville, GA 300783232
Phone: (770) 979-2020
Fax: (770) 978-3321
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $480.
Total Amount is formed as General ($480) + Research ($0) + Ownership ($0) = $480.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Genentech USA, Inc. ($222).
Total Amount
$480
General + Research + Ownership
Payments
14
Total payment records
General Amount
$480
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $222 |
| Janssen Biotech, Inc. | $125 |
| Regeneron Healthcare Solutions, Inc. | $61 |
| ABBVIE INC. | $34 |
| Amgen Inc. | $21 |
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: 2012-12-05
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 |
|---|---|---|---|---|
| I20121205000295 | I | Ophthalmology | GA | 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 |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 15,780 | 43 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 2,856 | 276 | $0 |
| 67028 | Injection of drug into eye | 1,788 | 306 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,481 | 342 | $0 |
| 92134 | Imaging of retina | 1,139 | 373 | $0 |
Insurance plans in this area (ZIP 30165)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Orthopedic Surgery | GA | |
| Radiation Oncology | GA | |
| - | GA |
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