DR. ERIK JOSEPH MODLO M.D.
NPI 1164503082
Internal Medicine in Lodi, OH

Q: What is Erik Modlo's NPI number?

The NPI number for Erik Modlo is 1164503082. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Erik Modlo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Erik Modlo was last updated on January 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment

225 ELYRIA ST, LODI, OH 44254(330) 948-9939(330) 948-2263 Get Directions Write a Review

NPPES record last updated: January 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Erik Joseph Modlo M.d. NPPES

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

DR. ERIK JOSEPH MODLO M.D. (NPI 1164503082) is an individual internal medicine provider in Lodi, Ohio, licensed in Ohio (35.097905) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and is a graduate of Northeastern Ohio University College Of Medicine (2003).

NPPES Registry Identity

NPI1164503082

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ERIK JOSEPH MODLOCredential: M.D.

Location Address225 ELYRIA STLodi, OH 44254-1031

Mailing Address225 Elyria StLodi, OH 44254-1031 · (330) 948-9939 · Fax (330) 948-2263

Phone(330) 948-9939

Fax(330) 948-2263

Sole ProprietorNo

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2003

Enumeration DateOctober 18, 2006

Last NPPES UpdateJanuary 12, 2016

✔ NPI 1164503082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 35.097905

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License 35.097905 (OH)

Also ListedHospitalistTaxonomy 208M00000X · License 35.097905 (OH)

225 ELYRIA ST, Lodi, OH 44254

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Other Identifiers 6

Medicaid0053753OH

Other2396081OH · Lodi Community Hospital Medicaid Group #

Other3613031OH · Lodi Community Hospital Medicare #

Other1003849910OH · Lodi Community Care Center Type 2 Npi #

Other1801807870OH · Lodi Community Hospital Type 2 Npi #

Medicare PINH023503OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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. Erik Joseph Modlo 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 ID2769663376

PECOS Enrollment IDI20110929000703

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 2

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.

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.

104 services65 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

95 services70 patients

Hospital Affiliations CMS Care Compare 3

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

Akron General Medical Center

Acute Care Hospitals · Akron, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360027

Location1 Akron General AvenueAkron, OH 44307 · Summit County

Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360364

Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44254 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers22 claims42 services$5.79 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032