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KATHRYN ROSE MODLINSKI M.D.
NPI 1124248083
Obstetrics & Gynecology in Louisville, KY

Active since April 25, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4915 NORTON HEALTHCARE BLVD STE 203, LOUISVILLE, KY 40241(502) 423-9595 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2023, Apr 2, 2020 (2 updates tracked since 2020).

About Kathryn Rose Modlinski M.d. NPPES

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

KATHRYN ROSE MODLINSKI M.D. (NPI 1124248083) is an individual obstetrics & gynecology provider in Louisville, Kentucky, licensed in Kentucky (46597) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124248083
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKATHRYN ROSE MODLINSKICredential: M.D.
Location Address4915 NORTON HEALTHCARE BLVD STE 203Louisville, KY 40241-2861
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 559-9425 · Fax (502) 272-5116
Phone(502) 423-9595
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2007
Enumeration DateApril 25, 2007
Last NPPES UpdateNovember 9, 20232 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1124248083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KY · 46597
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4915 NORTON HEALTHCARE BLVD STE 203, Louisville, KY 40241
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1200 E Chestnut StLouisville, KY 40202-1831 · Phone (502) 629-8000 · Fax (303) 306-7753
Location 29880 Angies Way, Suite 350Louisville, KY 40241-2851 · Phone (502) 423-9595 · Fax (502) 719-0161

Other Identifiers 2

Medicaid281874201TX
Medicaid7100132900KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Kathryn Rose 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 ID6608054994
PECOS Enrollment IDI20140703001930
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.

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 40241 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

KATHERINE KUSTES HOLLAND APRN
Nurse Practitioner (Women's Health)
4915 NORTON HEALTHCARE BLVD STE 203
LOUISVILLE, KY 40241
Jefferson County (502) 423-9595
CARRILEA REED NETT MD
Obstetrics & Gynecology
4915 NORTON HEALTHCARE BLVD STE 203
LOUISVILLE, KY 40241
Jefferson County (502) 423-9595

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 Kathryn Modlinski's NPI number?

The NPI number for Kathryn Modlinski is 1124248083. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Kathryn Modlinski located?

Kathryn Modlinski practices at 4915 Norton Healthcare Blvd Ste 203, Louisville, KY 40241. The listed phone number is (502) 423-9595.

What is Kathryn Modlinski's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kathryn Modlinski enrolled in Medicare?

Yes. Kathryn 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 Kathryn Modlinski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Kathryn 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 Kathryn Modlinski affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Kathryn Modlinski was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.