ANTHONY L MODICA MD
NPI 1295749851
Radiology - Diagnostic Radiology in New Orleans, LA

Q: What is Anthony Modica's NPI number?

The NPI number for Anthony Modica is 1295749851. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Anthony Modica's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Modica was last updated on September 25, 2024. 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.

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment

1514 JEFFERSON HWY, NEW ORLEANS, LA 70121(504) 842-3470(540) 891-5769 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Anthony L Modica Md NPPES

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

ANTHONY L MODICA MD (NPI 1295749851) is an individual diagnostic radiology provider in New Orleans, Louisiana, licensed in Louisiana (MD.08792R) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Tufts University School Of Medicine (1990).

NPPES Registry Identity

NPI1295749851

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameANTHONY L MODICACredential: MD

Location Address1514 JEFFERSON HWYNew Orleans, LA 70121-2429

Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000 · Fax (540) 891-5769

Phone(504) 842-3470

Fax(540) 891-5769

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 1990

Enumeration DateJuly 28, 2006

Last NPPES UpdateSeptember 25, 2024

NPPES CertifiedSeptember 25, 2024

✔ NPI 1295749851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in LA · MD.08792R✔ Licensed in MD · D0050358

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License MD.08792R (LA)

1514 JEFFERSON HWY, New Orleans, LA 70121

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Other Identifiers 5

Medicaid07828361MS

Medicaid205744100MD

Medicaid2347241LA

Other60234801MD · Blue Shield

Other80430028DC · Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, HMO Louisiana.Insurance ›

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

Anthony L Modica Md 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 ID8628974276

PECOS Enrollment IDI20131227001774, I20241203001825

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.

Medicare Billing Reassignments

Medicare enrollment records show Anthony Modica reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ochsner Clinic LLC

Same address

Pediatrics

1514 JEFFERSON HWY
New Orleans, LA 70121

Reassigned Medicare billing, Louisiana enrollment
4,559 clinicians in this Medicare group

NPI 1215136080 (504) 842-3000

Ochsner Mississippi, LLC

48 mi

Internal Medicine

906 SIXTH AVE
Picayune, MS 39466

Reassigned Medicare billing, Mississippi enrollment
326 clinicians in this Medicare group

NPI 1487253407 (601) 798-7529

Medical Foundation, Inc.

187 mi

Family Medicine

1314 19TH AVE
Meridian, MS 39301

Reassigned Medicare billing, Mississippi enrollment
349 clinicians in this Medicare group

NPI 1609820539 (601) 703-3310

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 17

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.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

265 services253 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

93 services92 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

43 services42 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

31 services28 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

28 services28 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

23 services23 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

23 services23 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

20 services19 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

18 services18 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

17 services17 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

17 services17 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

16 services16 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

16 services16 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

12 services12 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

11 services11 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

11 services11 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190036

Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County

Emergency services Birthing friendly

Slidell Memorial Hospital

Acute Care Hospitals · Slidell, LA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190040

Location1001 Gause BlvdSlidell, LA 70458 · St. Tammany County

Emergency services Birthing friendly

Ochsner Medical Center-Kenner

Acute Care Hospitals · Kenner, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190274

Location180 West Esplanade AvenueKenner, LA 70065 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70121 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

$86.76 typical visit price

range $55.50 – $170.30

Typical copayment $21.69 (range $13.87 – $42.57)

Most-billed visit code 99203

Established Patient

$69.44 typical visit price

range $17.42 – $138.03

Typical copayment $17.36 (range $4.35 – $34.50)

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.

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. WALTER JORDAN HOYT JR. M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)