DR. GEOFFREY ALAN MODEST MD
NPI 1023002169
Family Medicine in Dorchester, MA
NPI Status: Active since September 05, 2005
Contact Information
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
Phone: (617) 287-8000
Fax: (617) 282-8625
- Individual
- Male
- Family Medicine
- Accepts Insurance
- PECOS Enrolled
About GEOFFREY MODEST
This page provides the complete NPI Profile along with additional information for Geoffrey Modest, a primary care provider established in Dorchester, Massachusetts with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1023002169 assigned on September 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 43150 (MA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1023002169
- Provider Name
- DR. GEOFFREY ALAN MODEST MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 500 COLUMBIA RD DORCHESTER, MA 02125
- Location Phone
- (617) 287-8000
- Location Fax
- (617) 282-8625
- Mailing Address
- 500 COLUMBIA RD DORCHESTER, MA 02125
- Mailing Phone
- (617) 287-8000
- Mailing Fax
- (617) 282-8625
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-05-2005
- Last Update Date
- 07-08-2007
- Code Navigator
A primary care provider (PCP) like Geoffrey Modest sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 43150
- License State
- MA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0127949 | MEDICAID (05) | MA | |
| A54739 | MEDICARE UPIN (02) | MA | |
| E05430 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA |
Medicare Participation & PECOS Enrollment Status
Geoffrey Modest is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Hemoglobin a1c level
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
This service was performed 32 times for 18 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02125 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.64
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $24.41
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. GEOFFREY ALAN MODEST MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 0 | 0 | 2 | 1 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 0 | 0 | 4 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 0 + 0 + 4 + 1 + 1 + 2 + 24 = 41 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 41 = 9 | 9 | ||||||||
The NPI number 1023002169 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MS. HELEN M ROMERO MSW LICSW
Social Worker
(Clinical)
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
MS. LAUREN MICHELE SCHIFFER LCSW, MPH
Social Worker
(Clinical)
500 COLUMBIA RD
UPHAM'S CORNER HEALTH CENTER
DORCHESTER, MA
ZIP 02125
DR. EDWARD RAPHAEL LEVY MD
Pediatrics
(Adolescent Medicine)
500 COLUMBIA RD
MAILSTOP 415-03
DORCHESTER, MA
ZIP 02125
ADAM B. BURROWS M.D.
Internal Medicine
(Geriatric Medicine)
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
EILEEN JANE SEGALE RNC
Registered Nurse
(Home Health)
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
DR. ELANA B. STEINBERG PH.D.
Psychologist
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
MS. NANCY LORAINE BIFANO MSW
Social Worker
(Clinical)
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
MRS. BARBARA ANN JAMES BSED,BSN,WOCN,RN
Registered Nurse
(Enterostomal Therapy)
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
MRS. DEBORAH SUE LOVE DEBORAH LOVE
Registered Nurse
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
OLGA L DE LA CALLE M.D.
Internal Medicine
(Geriatric Medicine)
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
MS. SHEILA KEITH R.N.
Registered Nurse
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
MS. NANCY I. GOULD RN
Registered Nurse
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
MR. LEONEL REZIL RN
Registered Nurse
(Home Health)
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
DR. DAVID STANLEY BUCZAK DMD
Dentist
(General Practice)
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
EMILY GEORGE RN
Registered Nurse
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
ZUZANA MENDEZ
Dentist
(General Practice)
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
KATHIA JOSIANI MONTEIRO LCSW
Social Worker
(Clinical)
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
MRS. GLORIA J GERALDINO-ACOSTA LICSW
Social Worker
(Clinical)
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
LISA PERRONE LICSW
Social Worker
(Clinical)
500 COLUMBIA RD
MAILSTOP 415-05
DORCHESTER, MA
ZIP 02125
VICTORIA LAUREN LEE RN
Registered Nurse
500 COLUMBIA RD
DORCHESTER, MA
ZIP 02125
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023002169, enumerated as an "individual" on September 05, 2005.
The provider is located at 500 COLUMBIA RD DORCHESTER, MA 02125 and the phone number is (617) 287-8000.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.
