DR. AMY MICHELLE MODLIN DO
NPI 1144759069
Family Medicine in Washington, NC

Active since June 05, 2017PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
628 E 12TH ST, WASHINGTON, NC 27889(252) 975-4100 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2022, Jul 14, 2020, Jun 5, 2017 (3 updates tracked since 2017).

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

NPI1144759069
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. AMY MICHELLE MODLINCredential: DO
Location Address628 E 12TH STWashington, NC 27889-3409
Mailing Address628 E 12th StWashington, NC 27889-3409 · (252) 975-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 5, 2017
Last NPPES UpdateJanuary 6, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
NPI 1144759069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2020-00964
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

628 E 12TH ST, Washington, NC 27889

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. 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.

PECOS PAC ID5698041259
PECOS Enrollment IDI20200903001880
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
234 services110 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
80 services79 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
60 services35 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
45 services45 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.
30 services29 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services22 patients

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, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Ecu Health Bertie Hospital

Critical Access Hospitals · Windsor, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341304
Location1403 S King StWindsor, NC 27983 · Bertie County
Emergency services

Physician 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.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers13 claims13 services$69.77 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers41 claims41 services$19.74 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers51 claims51 services$116.59 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$38.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Anesthetist, Certified Registered
628 E 12TH ST
WASHINGTON, NC 27889
Nurse Anesthetist, Certified Registered
628 E 12TH ST
WASHINGTON, NC 27889
Nurse Practitioner (Family)
628 E 12TH ST
WASHINGTON, NC 27889
Surgery
628 E 12TH ST
WASHINGTON, NC 27889
Physician Assistant
628 E 12TH ST
WASHINGTON, NC 27889
Home Health
628 E 12TH ST
WASHINGTON, NC 27889
Emergency Medicine
628 E 12TH ST, EMERGENCY DEPARTMENT
WASHINGTON, NC 27889
Clinic/Center (Multi-Specialty)
628 E 12TH ST
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.

What insurance does Amy Modlin accept?

Health plans from Blue Cross and Blue Shield of NC list Amy Modlin 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 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 with the weekly NPPES data releases published by CMS.