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MISS LISA MARIA MODESTO O.D.
NPI 1598879637
Optometrist in Forest Hills, NY

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
10933 71ST RD, SUITE 2 C, FOREST HILLS, NY 11375(718) 261-3366 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Miss Lisa Maria Modesto O.d. NPPES

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

MISS LISA MARIA MODESTO O.D. (NPI 1598879637) is an individual optometrist in Forest Hills, New York, licensed in New York (TUV007078) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1598879637
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMISS LISA MARIA MODESTOCredential: O.D.
Location Address10933 71ST RD, SUITE 2 CForest Hills, NY 11375-4867
Mailing Address610 E 20th St Apt 4e, Apt. 4 ENew York, NY 10009-1403 · (917) 843-9639
Phone(718) 261-3366
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 18, 2006
Last NPPES UpdateFebruary 27, 2008
✔ NPI 1598879637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · TUV007078
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
10933 71ST RD, Forest Hills, NY 11375
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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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Miss Lisa Maria Modesto O.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.

PECOS PAC ID9032214408
PECOS Enrollment IDI20080611000810
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

2

Medicare enrollment records show Lisa Modesto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maayan Keshet MD PC
6.9 mi
Ophthalmologic Surgery
330 W 58TH ST, SUITE 600
New York, NY 10019
  • Reassigned Medicare billing, New York enrollment
  • 7 clinicians in this Medicare group
NPI 1396164216 (781) 608-9871
Jaclyn Benzoni Od PC
16 mi
Optometrist
2126 MERRICK MALL
Merrick, NY 11566
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
NPI 1538617790 (516) 546-3227

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 6

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
107 services103 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
75 services52 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
43 services43 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
24 services24 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
18 services18 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11375 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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 3

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

IDA MESSANA MD PLLC
Internal Medicine
10933 71ST RD, SUITE 2 E
FOREST HILLS, NY 11375
Queens County (718) 263-4345
MARK D FROMER, MD PC
Ophthalmology
10933 71ST RD, SUITE 2C
FOREST HILLS, NY 11375
Queens County (718) 261-3366
VINCENT P RAPPA MD
Internal Medicine
10933 71ST RD, SUITE 1E
FOREST HILLS, NY 11375
Queens County (718) 575-0410

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 Lisa Modesto's NPI number?

The NPI number for Lisa Modesto is 1598879637. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Lisa Modesto located?

Lisa Modesto practices at 10933 71st Rd Suite 2 C, Forest Hills, NY 11375. The listed phone number is (718) 261-3366.

What is Lisa Modesto's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lisa Modesto enrolled in Medicare?

Yes. Lisa Modesto 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 Lisa Modesto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Modesto reassigns Medicare benefits to 2 organizations: Maayan Keshet MD PC (New York, NY) and Jaclyn Benzoni Od PC (Merrick, NY). 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 Lisa Modesto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Modesto accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 7 other insurers list Lisa Modesto 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 Lisa Modesto was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.