No, a copy...
Agreed, it's a modern copy.
I would agree that this is a fake, the quality of the enameling is not consistent with period pieces and the detail is lacking especially on the area above the hammer and sickle the name of which eludes me temporarily.
An original Excellent Medic's Badge for comparison awarded to Pheodosia Bugaenko, Lieutenant Field Doctor, 705th Detached Cable Pole Company, 6th Red Guard's Tank Army, 1389th Rifle Regiment, 318th Rifle Division. . .
I believe the other Excellence Badge you show above is trying, albeit unsuccessfully, to be an Excellent Mine Layer's Badge. . .