KATHARINE LYONS MODISETT M.D.
NPI 1821389743
Internal Medicine - Critical Care Medicine in Washington, DC

Active since April 26, 2011PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
110 IRVING ST NW, DEPARTMENT OF PULMONARY DISEASE/CRITICAL CARE MEDICINE, WASHINGTON, DC 20010(202) 877-7856(202) 877-6130 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Katharine Lyons Modisett M.d. NPPES

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

KATHARINE LYONS MODISETT M.D. (NPI 1821389743) is an individual critical care medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD042439) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2011).

NPPES Registry Identity

NPI1821389743
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameKATHARINE LYONS MODISETTCredential: M.D.
Location Address110 IRVING ST NW, DEPARTMENT OF PULMONARY DISEASE/CRITICAL CARE MEDICINEWashington, DC 20010-3017
Mailing Address110 Irving St Nw, Department Of Pulmonary Disease/critical Care MedicineWashington, DC 20010-3017 · (202) 877-7856 · Fax (202) 877-6130
Fax(202) 877-6130
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2011
Enumeration DateApril 26, 2011
Last NPPES UpdateAugust 26, 2021
NPPES CertifiedAugust 26, 2021
NPI 1821389743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in DC · MD042439
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 172912 (NC)
110 IRVING ST NW, Washington, DC 20010

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

Katharine Lyons Modisett 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 ID6608195417
PECOS Enrollment IDI20250620001476
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 4

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
222 services108 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
89 services55 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services25 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$38.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
110 IRVING ST NW
WASHINGTON, DC 20010
Nurse Practitioner (Family)
110 IRVING ST NW
WASHINGTON, DC 20010
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
Neurological Surgery
110 IRVING ST NW
WASHINGTON, DC 20010

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 Katharine Modisett's NPI number?

The NPI number for Katharine Modisett is 1821389743. It was assigned to this individual provider in the NPPES registry on April 26, 2011.

Where is Katharine Modisett located?

Katharine Modisett practices at 110 Irving St NW Department Of Pulmonary Disease/Critical Care Medicine, Washington, DC 20010. The listed phone number is (202) 877-7856.

What is Katharine Modisett's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Katharine Modisett enrolled in Medicare?

Yes. Katharine Modisett 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 Katharine Modisett accept?

Health plans from Blue Cross and Blue Shield of Montana list Katharine Modisett 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 Katharine Modisett was last updated on August 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.