DR. RYAN EDWARD MODLINSKI M.D.
NPI 1114953817
Family Medicine - Sports Medicine in Louisville, KY

Q: What is Ryan Modlinski's NPI number?

The NPI number for Ryan Modlinski is 1114953817. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Q: What is Ryan Modlinski's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Modlinski was last updated on July 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

4123 DUTCHMANS LN, SUITE 401, LOUISVILLE, KY 40207(502) 394-6341(502) 394-6340 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2016, Feb 16, 2016 (2 updates tracked since 2016).

On this page

About Dr. Ryan Edward Modlinski M.d. NPPES

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

DR. RYAN EDWARD MODLINSKI M.D. (NPI 1114953817) is an individual sports medicine provider in Louisville, Kentucky, licensed in Kentucky (TP313) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Virginia Commonwealth University, School Of Medicine (2003).

NPPES Registry Identity

NPI1114953817

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. RYAN EDWARD MODLINSKICredential: M.D.

Location Address4123 DUTCHMANS LN, SUITE 401Louisville, KY 40207-4707

Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5119

Phone(502) 394-6341

Fax(502) 394-6340

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2003

Enumeration DateJune 24, 2006

Last NPPES UpdateJuly 12, 20162 updates tracked since enumeration

✔ NPI 1114953817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in KY · TP313

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

4123 DUTCHMANS LN, Louisville, KY 40207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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. Ryan Edward Modlinski M.d. 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 ID1254330061

PECOS Enrollment IDI20150528001334

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 14

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

640 services99 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

208 services109 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.

161 services108 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.

84 services73 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

60 services13 patients

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324

Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.

58 services15 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

56 services53 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

55 services55 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

51 services49 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

22 services22 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

21 services20 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services15 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

13 services11 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

DR. ELIZABETH TURCOTTE DNP, NNP

Nurse Practitioner (Neonatal, Critical Care)

4123 DUTCHMANS LN
LOUISVILLE, KY 40207

Jefferson County (502) 896-2500

AMANDA BELLE HETTINGER MD

Psychiatry & Neurology (Psychiatry)

4123 DUTCHMANS LN, SUITE 503
LOUISVILLE, KY 40207

Jefferson County (502) 409-5600

MRS. RHONDA W. HOWARD APRN.

Nurse Practitioner

4123 DUTCHMANS LN, SUITE 515
LOUISVILLE, KY 40207

Jefferson County (502) 899-6907

FRANCES MARIE ROSENBAUM MD

Obstetrics & Gynecology

4123 DUTCHMANS LN, SUITE 300
LOUISVILLE, KY 40207

Jefferson County (502) 899-6700

DR. PUSHKARAJ JADHAV MD

Pediatrics (Neonatal-Perinatal Medicine)

4123 DUTCHMANS LN, SUITE 301
LOUISVILLE, KY 40207

Jefferson County (502) 896-2500

ROBERT CRAIG DEWEESE MD

Surgery

4123 DUTCHMANS LN, SUITE 607
LOUISVILLE, KY 40207

Jefferson County (502) 899-6470

CHRISTINE KAY COOPER ARNP

Nurse Practitioner (Neonatal)

4123 DUTCHMANS LN, SUITE 301
LOUISVILLE, KY 40207

Jefferson County (502) 896-2500

DR. ANNA FEITELSON MD

Obstetrics & Gynecology

4123 DUTCHMANS LN, SUITE 300
LOUISVILLE, KY 40207

Jefferson County (502) 899-6755

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 Ryan Modlinski's NPI number?

The NPI number for Ryan Modlinski is 1114953817. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Ryan Modlinski located?

Ryan Modlinski practices at 4123 Dutchmans Ln Suite 401, Louisville, KY 40207. The listed phone number is (502) 394-6341.

What is Ryan Modlinski's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Ryan Modlinski enrolled in Medicare?

Yes. Ryan Modlinski 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 Ryan Modlinski accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Ryan Modlinski 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 Ryan Modlinski affiliated with any hospitals?

According to CMS data, Ryan Modlinski is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Ryan Modlinski was last updated on July 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.