DR. JACOB MODEST MD
NPI 1518458371
Orthopaedic Surgery in Danbury, CT
About Dr. Jacob Modest Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACOB MODEST MD (NPI 1518458371) is an individual orthopaedic surgery provider in Danbury, Connecticut, licensed in Connecticut (81093) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2018).
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
Dr. Jacob Modest 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jacob Modest reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Danbury, CT 06810
- Reassigned Medicare billing, Connecticut enrollment
- 118 clinicians in this Medicare group
Wilton, CT 06897
- Reassigned Medicare billing, Connecticut enrollment
- 33 clinicians in this Medicare group
Providence, RI 02905
- Reassigned Medicare billing, Rhode Island enrollment
- 222 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06810 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.
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 Jacob Modest's NPI number?
The NPI number for Jacob Modest is 1518458371. It was assigned to this individual provider in the NPPES registry on May 28, 2018.
Where is Jacob Modest located?
Jacob Modest practices at 2 Riverview Dr, Danbury, CT 06810. The listed phone number is (203) 797-1500.
What is Jacob Modest's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Jacob Modest enrolled in Medicare?
Yes. Jacob Modest 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 Jacob Modest's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Modest reassigns Medicare benefits to 3 organizations: Orthoconnecticut, PLLC (Danbury, CT), Hvra Of Ridgefield, LLC (Wilton, CT) and University Orthopedics, Inc. (Providence, RI). 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 Jacob Modest's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Modest accept?
Health plans from Anthem Blue Cross and Blue Shield list Jacob Modest 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 Jacob Modest was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Jacob Modest, MD · NPI 1518458371
Orthopaedic Surgery physician in Danbury, Connecticut. Individual provider, active in the CMS NPPES registry since May 28, 2018.
## Identity
- **NPI:** 1518458371 (Entity type: Individual)
- **Enumerated:** May 28, 2018
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 81093 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 2 RIVERVIEW DR, Danbury, CT 06810-6268
- **Phone:** (203) 797-1500 · **Fax:** (203) 730-9507
## 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): Orthoconnecticut, PLLC (NPI 1770507345, Danbury, CT); Hvra Of Ridgefield, LLC (NPI 1225909971, Wilton, CT); University Orthopedics, Inc. (NPI 1235181041, Providence, RI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Massachusetts Medical School, class of 2018
## Record status
- **NPPES last updated:** June 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1518458371) · Data from the CMS NPPES public registry.