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Edit this profileSimple S. Modi, MD practices rheumatology in Hampton, VA. Simple is also listed as specializing in student in an organized health care education program. According to Medicare claims data, Simple cared for 669 Medicare patients across 859 services. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient', and established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more. The provider's National Provider Identifier (NPI) is 1487182812.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
4001 COLISEUM DR STE 310A
Hampton, VA 23666
1500 Lansdowne Ave
Darby, PA 19023
Within Rheumatology generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Most searched conditions
Autoimmune
Bone
Bone Health
Connective Tissue
Genetic & Connective Tissue
Inflammatory
Joints
Nerve & Tendon
Skin & Soft Tissue
Skin & Vascular
Soft Tissue
Spine & Back
Vascular
Most searched procedures
Consultation
Consultations
Diagnostics & Injections
Education & Support
Imaging
Injections
Lab & Diagnostics
Lab Work
Medication Management
Pain Relief
Regenerative Medicine
859 services · 669 patients · 7 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Aspiration and/or injection of fluid from large joint | Procedure | 20610 |
25 | Less often than most peers in Rheumatology |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
300 | As often as other peers in Rheumatology |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient' | Billing code | G2211 |
248 | As often as other peers in Rheumatology |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | Office visit | 99215 |
202 | More than most peers in Rheumatology |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | Office visit | 99204 |
41 | As often as other peers in Rheumatology |
| New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | Office visit | 99205 |
30 | As often as other peers in Rheumatology |
| Telephone medical discussion with physician, 21-30 minutes | Office visit | 99443 |
13 | Less often than most peers in Rheumatology |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Modi is a rheumatologist in Hampton, VA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Rheumatology”.
NPI registry
Dr. Modi is listed at 4001 Coliseum Dr Ste 310A, Hampton, VA 23666. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (757) 736-2540. Contact the office directly to confirm availability and scheduling.
NPI registry
Dr. Modi's National Provider Identifier is 1487182812. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Modi attended Other, graduating in 2015. This comes from the CMS National Downloadable File.
CMS public data
Dr. Modi has 11 years experience. Calculated from a graduation year of 2015, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Modi performs procedures including aspiration and/or injection of fluid from large joint, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Modi. If this is you, claiming it is free.
Guide.md
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