FRANK EDWARD MODIC M.D.
NPI 1871683326
Radiology - Diagnostic Radiology in Santa Rosa, CA

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
121 SOTOYOME ST, SANTA ROSA, CA 95405(707) 546-4062(707) 525-4097 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frank Edward Modic M.d. NPPES

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

FRANK EDWARD MODIC M.D. (NPI 1871683326) is an individual diagnostic radiology provider in Santa Rosa, California, licensed in California (G56491) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1984).

NPPES Registry Identity

NPI1871683326
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameFRANK EDWARD MODICCredential: M.D.
Location Address121 SOTOYOME STSanta Rosa, CA 95405-4823
Mailing AddressPo Box 5651Orange, CA 92863-5651 · (714) 571-5000 · Fax (714) 571-5055
Fax(707) 525-4097
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1984
Enumeration DateOctober 13, 2006
Last NPPES UpdateMay 29, 2014
NPI 1871683326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · G56491
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License G56491 (CA)
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License G56491 (CA)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License G56491 (CA)
121 SOTOYOME ST, Santa Rosa, CA 95405

Other Identifiers 4

Medicaid00G564910CA
Medicare ID-Type Unspecified00G564910
Medicare UPINE24948
Medicare PINCA119047CA

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

Frank Edward Modic 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 ID9830105345
PECOS Enrollment IDI20060221000606
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 68

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
470 services439 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
216 services206 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
165 services156 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
162 services155 patients
Low dose ct scan of chest for lung cancer screening 71271
A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.
132 services132 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
106 services105 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Radiology (Diagnostic Ultrasound)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Radiology (Vascular & Interventional Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405

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 Frank Modic's NPI number?

The NPI number for Frank Modic is 1871683326. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Frank Modic located?

Frank Modic practices at 121 Sotoyome St, Santa Rosa, CA 95405. The listed phone number is (707) 546-4062.

What is Frank Modic's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Frank Modic enrolled in Medicare?

Yes. Frank Modic 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 Frank Modic was last updated on May 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.