ANDREW MODIC MD
NPI 1063831972
Internal Medicine in Ridgecrest, CA

Active since April 08, 2014PECOS EnrolledAccepts Medicare Assignment
1111 N CHINA LAKE BLVD, RIDGECREST, CA 93555(760) 499-3855(760) 499-3870 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2019, Nov 16, 2018 (2 updates tracked since 2018).

About Andrew Modic Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW MODIC MD (NPI 1063831972) is an individual internal medicine provider in Ridgecrest, California, licensed in California (A155740) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2014).

NPPES Registry Identity

NPI1063831972
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANDREW MODICCredential: MD
Location Address1111 N CHINA LAKE BLVDRidgecrest, CA 93555-3131
Mailing Address1081 N China Lake BlvdRidgecrest, CA 93555-3130 · (760) 499-3855 · Fax (760) 499-3870
Fax(760) 499-3870
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2014
Enumeration DateApril 8, 2014
Last NPPES UpdateFebruary 12, 20192 updates tracked since enumeration
NPI 1063831972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · A155740 Licensed in AL · MD.34762
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1111 N CHINA LAKE BLVD, Ridgecrest, CA 93555

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

Andrew Modic 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 ID4688993322
PECOS Enrollment IDI20210212000128
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
264 services126 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
89 services81 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
65 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93555 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
$135.05 typical visit price
range $59.26 – $178.09
Typical copayment $33.76 (range $14.81 – $44.52)
Most-billed visit code 99204
Established Patient
$104.09 typical visit price
range $19.34 – $145.64
Typical copayment $26.02 (range $4.83 – $36.41)
Most-billed visit code 99214
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.

Physician Assistant (Medical)
1111 N CHINA LAKE BLVD, RIDGECREST REGIONAL HOSPITAL
RIDGECREST, CA 93555
Nurse Practitioner (Family)
1111 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Nurse Practitioner
1111 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Podiatrist (Foot & Ankle Surgery)
1111 N CHINA LAKE BLVD, SUITE 301
RIDGECREST, CA 93555
Pediatrics (Adolescent Medicine)
1111 N CHINA LAKE BLVD, SUITE 120
RIDGECREST, CA 93555
Clinic/Center (Rural Health)
1111 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Internal Medicine
1111 N CHINA LAKE BLVD
RIDGECREST, CA 93555
Psychologist
1111 N CHINA LAKE BLVD
RIDGECREST, CA 93555

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 Andrew Modic's NPI number?

The NPI number for Andrew Modic is 1063831972. It was assigned to this individual provider in the NPPES registry on April 8, 2014.

Where is Andrew Modic located?

Andrew Modic practices at 1111 N China Lake Blvd, Ridgecrest, CA 93555. The listed phone number is (760) 499-3855.

What is Andrew Modic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andrew Modic enrolled in Medicare?

Yes. Andrew Modic 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.

When was this NPI record last updated?

The NPPES record for Andrew Modic was last updated on February 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.