SUSAN C. MODESITT M.D.
NPI 1427070598
Obstetrics & Gynecology - Gynecologic Oncology in Charlottesville, VA
About Susan C. Modesitt M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN C. MODESITT M.D. (NPI 1427070598) is an individual gynecologic oncology provider in Charlottesville, Virginia, licensed in Georgia (91037) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of University Of Virginia School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Susan C. Modesitt 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.
Medicare Billing Reassignments
3Medicare enrollment records show Susan Modesitt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlottesville, VA 22911
- Reassigned Medicare billing, Virginia enrollment
- 2,820 clinicians in this Medicare group
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 2,681 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 8
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory University Hospital
Acute Care Hospitals · Atlanta, GAEmory Decatur Hospital
Acute Care Hospitals · Decatur, GAEmory University Hospital Midtown
Acute Care Hospitals · Atlanta, GASaint Joseph's Hospital Of Atlanta, Inc
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22908 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.
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.
CHARLOTTESVILLE, VA 22908
CHARLOTTESVILLE, VA 22908
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 Susan Modesitt's NPI number?
The NPI number for Susan Modesitt is 1427070598. It was assigned to this individual provider in the NPPES registry on July 24, 2006.
Where is Susan Modesitt located?
Susan Modesitt practices at 1240 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-9333.
What is Susan Modesitt's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.
Is Susan Modesitt enrolled in Medicare?
Yes. Susan Modesitt 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 Susan Modesitt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Modesitt reassigns Medicare benefits to 3 organizations: University Of Virginia Physicians Group (Charlottesville, VA), The Emory Clinic Inc (Atlanta, GA) and Emory Medical Care Foundation Inc (Atlanta, GA). 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 Susan Modesitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Modesitt accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Susan Modesitt 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 Susan Modesitt affiliated with any hospitals?
According to CMS data, Susan Modesitt is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown and Saint Joseph's Hospital Of Atlanta, Inc.
When was this NPI record last updated?
The NPPES record for Susan Modesitt was last updated on March 28, 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.
# Susan C. Modesitt, M.D. · NPI 1427070598
Gynecologic Oncology physician in Charlottesville, Virginia. Individual provider, active in the CMS NPPES registry since July 24, 2006.
## Identity
- **NPI:** 1427070598 (Entity type: Individual)
- **Enumerated:** July 24, 2006
- **Primary specialty:** Obstetrics & Gynecology - Gynecologic Oncology · taxonomy 207VX0201X
- **State license:** 91037 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1240 LEE ST, Charlottesville, VA 22908-0001
- **Phone:** (434) 924-9333 · **Fax:** (434) 244-7526
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Virginia Physicians Group (NPI 1033138250, Charlottesville, VA); The Emory Clinic Inc (NPI 1396798229, Atlanta, GA); Emory Medical Care Foundation Inc (NPI 1063452381, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Virginia School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** March 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1427070598) · Data from the CMS NPPES public registry.