DR. JUSTIN MODUGNO DDS
NPI 1346623147
Dentist in North Canton, OH

Q: What is Justin Modugno's NPI number?

The NPI number for Justin Modugno is 1346623147. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Q: What is Justin Modugno's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Modugno was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 June 30, 2015PECOS Enrolled

8340 CLEVELAND AVE NW, NORTH CANTON, OH 44720(330) 494-6305 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Justin Modugno Dds NPPES

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

DR. JUSTIN MODUGNO DDS (NPI 1346623147) is an individual dentist in North Canton, Ohio, licensed in Ohio (30-024466) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346623147

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JUSTIN MODUGNOCredential: DDS

Location Address8340 CLEVELAND AVE NWNorth Canton, OH 44720-4820

Mailing Address8340 Cleveland Ave NwNorth Canton, OH 44720-4820 · (330) 494-6305

Phone(330) 494-6305

Sole ProprietorYes

Enumeration DateJune 30, 2015

Last NPPES UpdateMarch 18, 2025

NPPES CertifiedMarch 18, 2025

✔ NPI 1346623147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in OH · 30-024466✔ Licensed in OH · RES.3620

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

8340 CLEVELAND AVE NW, North Canton, OH 44720

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin Modugno Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Justin Modugno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cleveland Clinic Mercy Hospital

6.6 mi

General Acute Care Hospital

1320 MERCY DR NW
Canton, OH 44708

Reassigned Medicare billing, Ohio enrollment
235 clinicians in this Medicare group

NPI 1366433195 (330) 489-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44720 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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

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

DR. LEE MIDDLE BOWMAN II DDS

Dentist

8340 CLEVELAND AVE NW
NORTH CANTON, OH 44720

Stark County (330) 305-9960

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 Justin Modugno's NPI number?

The NPI number for Justin Modugno is 1346623147. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Justin Modugno located?

Justin Modugno practices at 8340 Cleveland Ave NW, North Canton, OH 44720. The listed phone number is (330) 494-6305.

What is Justin Modugno's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Justin Modugno enrolled in Medicare?

Yes. Justin Modugno is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justin Modugno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Modugno reassigns Medicare benefits to Cleveland Clinic Mercy Hospital (Canton, OH). The 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 Justin Modugno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Modugno accept?

Health plans from Anthem Blue Cross and Blue Shield list Justin Modugno 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.

When was this NPI record last updated?

The NPPES record for Justin Modugno was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.