MARA C MODZESKI MD
NPI 1053758094
Otolaryngology in Port Matilda, PA
About Mara C Modzeski Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARA C MODZESKI MD (NPI 1053758094) is an individual otolaryngology provider in Port Matilda, Pennsylvania, licensed in Pennsylvania (MD464929) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mara C Modzeski Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mara Modzeski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Matilda, PA 16870
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Lock Haven, PA 17745
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,405 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger Medical Center
Acute Care Hospitals · Danville, PAGeisinger-Lewistown Hospital
Acute Care Hospitals · Lewistown, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16870 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT MATILDA, PA 16870
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mara Modzeski's NPI number?
The NPI number for Mara Modzeski is 1053758094. It was assigned to this individual provider in the NPPES registry on May 31, 2013.
Where is Mara Modzeski located?
Mara Modzeski practices at 132 Abigail Ln, Port Matilda, PA 16870. The listed phone number is (814) 272-5011.
What is Mara Modzeski's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Mara Modzeski enrolled in Medicare?
Yes. Mara Modzeski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mara Modzeski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mara Modzeski reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Port Matilda, PA) and Geisinger-Hm Joint Venture, LLC (Lock Haven, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mara Modzeski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mara Modzeski accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mara Modzeski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mara Modzeski affiliated with any hospitals?
According to CMS data, Mara Modzeski is affiliated with Geisinger Medical Center and Geisinger-Lewistown Hospital.
When was this NPI record last updated?
The NPPES record for Mara Modzeski was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mara C Modzeski, MD · NPI 1053758094
Otolaryngology physician in Port Matilda, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 31, 2013.
## Identity
- **NPI:** 1053758094 (Entity type: Individual)
- **Enumerated:** May 31, 2013
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** MD464929 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 132 ABIGAIL LN, Port Matilda, PA 16870-7153
- **Phone:** (814) 272-5011 · **Fax:** (814) 272-6531
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Geisinger Clinic (NPI 1083874770, Port Matilda, PA); Geisinger-Hm Joint Venture, LLC (NPI 1427604222, Lock Haven, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jefferson Medical College Of Thomas Jefferson University, class of 2013
## Record status
- **NPPES last updated:** September 1, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1053758094) · Data from the CMS NPPES public registry.