DR. MODESTO JOSE COLON MD
NPI 1083873574
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Phoenix, AZ

Active since June 09, 2008PECOS EnrolledAccepts Medicare Assignment
3131 E CLARENDON AVE, SUITE 102, PHOENIX, AZ 85016(602) 253-9168(602) 251-3126 Get Directions Write a Review

NPPES record last updated: July 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Modesto Jose Colon Md NPPES

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

DR. MODESTO JOSE COLON MD (NPI 1083873574) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Phoenix, Arizona, licensed in Arizona (52510) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2006).

NPPES Registry Identity

NPI1083873574
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. MODESTO JOSE COLONCredential: MD
Location Address3131 E CLARENDON AVE, SUITE 102Phoenix, AZ 85016-7069
Mailing Address3131 E Clarendon Ave, Suite 102Phoenix, AZ 85016-7069 · (602) 253-9168 · Fax (602) 251-3126
Fax(602) 251-3126
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2006
Enumeration DateJune 9, 2008
Last NPPES UpdateJuly 25, 2016
NPI 1083873574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in AZ · 52510
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

3131 E CLARENDON AVE, Phoenix, AZ 85016

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

Dr. Modesto Jose Colon 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 ID4789998584
PECOS Enrollment IDI20160804000304
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 6

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
60 services60 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
45 services45 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
23 services23 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
17 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services15 patients
Coronary artery bypass using vein or artery graft, 2 grafts 33518
A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%57 patients4/55-star benchmark: 100%
Patient Centered Surgical Risk Assessment and Communication for Cardiac Surgery
Percentage of patients age 18 and older undergoing a non-emergency risk modeled cardiac surgery procedure that had personalized risk assessment using the STS risk calculator and discussed those risks with the surgeon.
4%49 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
99%73 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
3131 E CLARENDON AVE, SUITE 102
PHOENIX, AZ 85016
Psychologist (Clinical)
3131 E CLARENDON AVE, #106
PHOENIX, AZ 85016
Physician Assistant (Surgical)
3131 E CLARENDON AVE, SUITE 102
PHOENIX, AZ 85016
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3131 E CLARENDON AVE, SUITE 102
PHOENIX, AZ 85016
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3131 E CLARENDON AVE, SUITE 102
PHOENIX, AZ 85016
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3131 E CLARENDON AVE, 102
PHOENIX, AZ 85016

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 Modesto Colon's NPI number?

The NPI number for Modesto Colon is 1083873574. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Modesto Colon located?

Modesto Colon practices at 3131 E Clarendon Ave Suite 102, Phoenix, AZ 85016. The listed phone number is (602) 253-9168.

What is Modesto Colon's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Modesto Colon enrolled in Medicare?

Yes. Modesto Colon 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 Modesto Colon accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Modesto Colon 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.

When was this NPI record last updated?

The NPPES record for Modesto Colon was last updated on July 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.