DR. MAYA MODZELEWSKA M.D.
NPI 1790074490
Physical Medicine & Rehabilitation - Pain Medicine in Salem, OR

Active since April 04, 2011PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1100 22ND ST SE, SALEM, OR 97302(585) 275-3274(585) 442-2949 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2023, Oct 20, 2020 (2 updates tracked since 2020).

About Dr. Maya Modzelewska M.d. NPPES

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

DR. MAYA MODZELEWSKA M.D. (NPI 1790074490) is an individual pain medicine provider in Salem, Oregon, licensed in Oregon (MD181084) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Adventist Health Castle, and maintains a secondary practice location in Kailua.

NPPES Registry Identity

NPI1790074490
Entity TypeIndividualFemale
Primary Taxonomy2081P2900X
Provider Legal NameDR. MAYA MODZELEWSKACredential: M.D.
Location Address1100 22ND ST SESalem, OR 97302-6558
Mailing Address1100 22nd St SeSalem, OR 97302-6558 · (503) 971-6771 · Fax (503) 385-8421
Fax(585) 442-2949
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 4, 2011
Last NPPES UpdateMay 8, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
NPI 1790074490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License Licensed in OR · MD181084
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License MD181084 (OR)
1100 22ND ST SE, Salem, OR 97302

Secondary Practice Location 1

Location 1970 N Kalaheo Ave Ste A109Kailua, HI 96734-1868 · Phone (808) 501-2235

Accepted Insurance

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. Maya Modzelewska 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.

PECOS PAC ID5496038341
PECOS Enrollment IDI20170220001344, I20230921002344
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 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.

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.
44 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services23 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
23 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
16 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventist Health Castle

Acute Care Hospitals · Kailua, HI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number120006
Location640 Ulukahiki StKailua, HI 96734 · Honolulu County
Emergency services Birthing friendly

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

Physical Medicine & Rehabilitation (Pain Medicine)
1100 22ND ST SE
SALEM, OR 97302
Physical Medicine & Rehabilitation (Pain Medicine)
1100 22ND ST SE
SALEM, OR 97302
Physician Assistant
1100 22ND ST SE
SALEM, OR 97302

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 Maya Modzelewska's NPI number?

The NPI number for Maya Modzelewska is 1790074490. It was assigned to this individual provider in the NPPES registry on April 4, 2011.

Where is Maya Modzelewska located?

Maya Modzelewska practices at 1100 22nd St SE, Salem, OR 97302. The listed phone number is (585) 275-3274.

What is Maya Modzelewska's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Maya Modzelewska enrolled in Medicare?

Yes. Maya Modzelewska 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.

What insurance does Maya Modzelewska accept?

Health plans from HMSA and Moda Health Plan, Inc. list Maya Modzelewska 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 Maya Modzelewska affiliated with any hospitals?

According to CMS data, Maya Modzelewska is affiliated with Adventist Health Castle.

When was this NPI record last updated?

The NPPES record for Maya Modzelewska was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.