DR. AMY MICHELLE MODLIN DO
NPI 1144759069
Family Medicine in Washington, NC
About Dr. Amy Michelle Modlin Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMY MICHELLE MODLIN DO (NPI 1144759069) is an individual family medicine provider in Washington, North Carolina, licensed in North Carolina (2020-00964) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Amy Michelle Modlin Do 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 Amy Modlin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenville, NC 27834
- Reassigned Medicare billing, North Carolina enrollment
- 1,653 clinicians in this Medicare group
Chattanooga, TN 37421
- Reassigned Medicare billing, Tennessee enrollment
- 224 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 10
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ecu Health Medical Center
Acute Care Hospitals · Greenville, NCEcu Health Bertie Hospital
Critical Access Hospitals · Windsor, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27889 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WASHINGTON, NC 27889
WASHINGTON, NC 27889
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 Amy Modlin's NPI number?
The NPI number for Amy Modlin is 1144759069. It was assigned to this individual provider in the NPPES registry on June 5, 2017.
Where is Amy Modlin located?
Amy Modlin practices at 628 E 12th St, Washington, NC 27889. The listed phone number is (252) 975-4100.
What is Amy Modlin's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Amy Modlin enrolled in Medicare?
Yes. Amy Modlin 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 Amy Modlin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Modlin reassigns Medicare benefits to 2 organizations: Vidant Medical Group LLC (Greenville, NC) and Dx Mso, PLLC (Chattanooga, TN). 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 Amy Modlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Amy Modlin affiliated with any hospitals?
According to CMS data, Amy Modlin is affiliated with Ecu Health Medical Center and Ecu Health Bertie Hospital.
When was this NPI record last updated?
The NPPES record for Amy Modlin was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Amy Michelle Modlin, DO · NPI 1144759069
Family Medicine physician in Washington, North Carolina. Individual provider, active in the CMS NPPES registry since June 5, 2017.
## Identity
- **NPI:** 1144759069 (Entity type: Individual)
- **Enumerated:** June 5, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2020-00964 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 628 E 12TH ST, Washington, NC 27889-3409
- **Phone:** (252) 975-4100
## 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): Vidant Medical Group LLC (NPI 1477648731, Greenville, NC); Dx Mso, PLLC (NPI 1225381148, Chattanooga, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1144759069) · Data from the CMS NPPES public registry.