MARA C MODZESKI MD
NPI 1053758094
Otolaryngology in Port Matilda, PA

Active since May 31, 2013PECOS EnrolledAccepts Medicare Assignment
132 ABIGAIL LN, PORT MATILDA, PA 16870(814) 272-5011(814) 272-6531 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 1, 2020, Oct 30, 2018, Nov 15, 2016 (3 updates tracked since 2016).

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

NPI1053758094
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameMARA C MODZESKICredential: MD
Location Address132 ABIGAIL LNPort Matilda, PA 16870-7153
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144
Fax(814) 272-6531
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2013
Enumeration DateMay 31, 2013
Last NPPES UpdateSeptember 1, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2020
NPI 1053758094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in PA · MD464929 Licensed in MN · 58125
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

132 ABIGAIL LN, Port Matilda, PA 16870

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2264673391
PECOS Enrollment IDI20180912003684
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
71 services64 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
71 services57 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
62 services61 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
58 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients

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, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390048
Location400 Highland AvenueLewistown, PA 17044 · Mifflin County
Emergency services Birthing friendly

Physician 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.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Anesthetist, Certified Registered
132 ABIGAIL LN
PORT MATILDA, PA 16870
Pediatrics
132 ABIGAIL LN
PORT MATILDA, PA 16870
Surgery
132 ABIGAIL LN
PORT MATILDA, PA 16870
Surgery
132 ABIGAIL LN
PORT MATILDA, PA 16870
Pediatrics
132 ABIGAIL LN
PORT MATILDA, PA 16870
Physician Assistant
132 ABIGAIL LN
PORT MATILDA, PA 16870
Physician Assistant
132 ABIGAIL LN
PORT MATILDA, PA 16870
Internal Medicine
132 ABIGAIL LN
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.

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 with the weekly NPPES data releases published by CMS.