ANDREW MODIC MD
NPI 1063831972
Internal Medicine in Ridgecrest, CA
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Andrew Modic reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ridgecrest, CA 93555
- Reassigned Medicare billing, California enrollment
- 143 clinicians in this Medicare group
Pine Ridge, SD 57770
- Reassigned Medicare billing, Texas enrollment
- 426 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 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.
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.
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.
RIDGECREST, CA 93555
RIDGECREST, CA 93555
RIDGECREST, CA 93555
RIDGECREST, CA 93555
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.
Which organizations bill Medicare for Andrew Modic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Modic reassigns Medicare benefits to 2 organizations: Ridgecrest Regional Hospital (Ridgecrest, CA) and Pine Ridge Indian Health Service Hospital (Pine Ridge, SD). 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 Andrew Modic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrew Modic was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Andrew Modic, MD · NPI 1063831972
Internal Medicine physician in Ridgecrest, California. Individual provider, active in the CMS NPPES registry since April 8, 2014.
## Identity
- **NPI:** 1063831972 (Entity type: Individual)
- **Enumerated:** April 8, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** A155740 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1111 N CHINA LAKE BLVD, Ridgecrest, CA 93555-3131
- **Phone:** (760) 499-3855 · **Fax:** (760) 499-3870
## 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): Ridgecrest Regional Hospital (NPI 1447253125, Ridgecrest, CA); Pine Ridge Indian Health Service Hospital (NPI 1497786412, Pine Ridge, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Connecticut School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** February 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1063831972) · Data from the CMS NPPES public registry.