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DR. JACOB MODEST MD
NPI 1518458371
Orthopaedic Surgery in Danbury, CT

Active since May 28, 2018PECOS EnrolledAccepts Medicare Assignment
75.39/100
CMS Quality Rating
2 RIVERVIEW DR, DANBURY, CT 06810(203) 797-1500(203) 730-9507 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2025, Jun 16, 2023 (2 updates tracked since 2023).

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

NPI1518458371
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JACOB MODESTCredential: MD
Location Address2 RIVERVIEW DRDanbury, CT 06810-6268
Mailing Address2 Riverview DrDanbury, CT 06810-6268 · (203) 797-1500 · Fax (203) 730-9507
Phone(203) 797-1500
Fax(203) 730-9507
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2018
Enumeration DateMay 28, 2018
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1518458371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in CT · 81093✔ Licensed in RI · MD19033
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2 RIVERVIEW DR, Danbury, CT 06810
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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. 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.

PECOS PAC ID1153677422
PECOS Enrollment IDI20250731003346
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services19 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

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.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

75.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.78
Promoting Interoperability95
Improvement Activities40
Cost62.35

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.

PHILIP BLACK ATC, PA-C
Physician Assistant (Surgical)
2 RIVERVIEW DR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 797-1500
DR. JOHN PATRICK DUNLEAVY M.D.
Orthopaedic Surgery
2 RIVERVIEW DR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 797-1500
DOUGLAS ROSS HENSHAW MD
Orthopaedic Surgery
2 RIVERVIEW DR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 797-1500
KRISTIN MICHELLE APONTE PA-C
Physician Assistant (Surgical)
2 RIVERVIEW DR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 797-1500
MICHAEL D HOLLANDER MD
Radiology (Diagnostic Radiology)
2 RIVERVIEW DR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 426-3002
JAMES WARNER DEPUY MD
Orthopaedic Surgery
2 RIVERVIEW DR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 797-1500
PHILIP J MULIERI MD
Orthopaedic Surgery
2 RIVERVIEW DR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 797-1500
ZACHARY LANS MD
Anesthesiology
2 RIVERVIEW DR
DANBURY, CT 06810
Western Connecticut Planning Region (203) 792-7246

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.

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 13 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.