1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Internal Medicine
  6. NPI Profile

DR. KATHERINE L. MODZELEWSKI MD
NPI 1881953248
Internal Medicine - Endocrinology, Diabetes & Metabolism in Boston, MA

Active since May 04, 2012PECOS EnrolledAccepts Medicare Assignment
732 HARRISON AVE, FL 2, PRESTON BLDG, BOSTON, MA 02118(617) 638-7470(617) 638-7449 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 1, 2024, Jun 21, 2023, Apr 28, 2022 (3 updates tracked since 2022).

About Dr. Katherine L. Modzelewski Md NPPES

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

DR. KATHERINE L. MODZELEWSKI MD (NPI 1881953248) is an individual endocrinology, diabetes & metabolism provider in Boston, Massachusetts, licensed in Massachusetts (269695) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of New York Medical College (2012).

NPPES Registry Identity

NPI1881953248
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. KATHERINE L. MODZELEWSKICredential: MD
Location Address732 HARRISON AVE, FL 2, PRESTON BLDGBoston, MA 02118-2309
Mailing Address960 Massachusetts Avenue, Fl 2Boston, MA 02118-2690
Phone(617) 638-7470
Fax(617) 638-7449
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2012
Enumeration DateMay 4, 2012
Last NPPES UpdateApril 1, 20243 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
✔ NPI 1881953248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MA · 269695
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 269695 (MA)
732 HARRISON AVE, FL 2, Boston, MA 02118
Open in Google Maps ↗

Other Identifiers 2

Medicaid110102721AMA
Medicaid3124076NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Katherine L. Modzelewski 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 ID3678705050
PECOS Enrollment IDI20170601001059
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
126 services55 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
110 services45 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.
72 services64 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services38 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers37 claims90 services$5.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers20 claims33 services$1.06 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers25 claims25 services$172.76 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 18

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

DR. ASEM H ALI MD / MBBS
Internal Medicine (Endocrinology, Diabetes & Metabolism)
732 HARRISON AVE, FL 2, PRESTON BLDG, ENDOCRINOLOGY
BOSTON, MA 02118
Suffolk County (617) 638-7470
TINA YIU FNP
Nurse Practitioner (Family)
732 HARRISON AVE, FL 2, PRESTON BLDG
BOSTON, MA 02118
Suffolk County (617) 638-7470
DR. KATHRYN L. FANTASIA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
732 HARRISON AVE, FL 2, PRESTON BLDG
BOSTON, MA 02118
Suffolk County (617) 638-7470
DR. SUSANA ADELA EBNER M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
732 HARRISON AVE, FL 2, PRESTON BLDG, ENDOCRINOLOGY
BOSTON, MA 02118
Suffolk County (617) 638-7470
MIRIAN TORBADO BARRIENTOS NP, MSN, MPH
Nurse Practitioner (Gerontology)
732 HARRISON AVE, FL 2, PRESTON BLDG
BOSTON, MA 02118
Suffolk County (617) 638-7470
JOELLE GRACE SULISTIO FNP
Nurse Practitioner (Family)
732 HARRISON AVE, FL 2, PRESTON BLDG
BOSTON, MA 02118
Suffolk County (617) 638-7470
SUN Y LEE M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
732 HARRISON AVE, FL 2, PRESTON BLDG
BOSTON, MA 02118
Suffolk County (617) 638-7470
DENISE H. WONG M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
732 HARRISON AVE, FL 2, PRESTON BLDG
BOSTON, MA 02118
Suffolk County (617) 638-7470

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 Katherine Modzelewski's NPI number?

The NPI number for Katherine Modzelewski is 1881953248. It was assigned to this individual provider in the NPPES registry on May 4, 2012.

Where is Katherine Modzelewski located?

Katherine Modzelewski practices at 732 Harrison Ave, Fl 2 Preston Bldg, Boston, MA 02118. The listed phone number is (617) 638-7470.

What is Katherine Modzelewski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Katherine Modzelewski enrolled in Medicare?

Yes. Katherine Modzelewski 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 Katherine Modzelewski accept?

Health plans from Anthem Blue Cross and Blue Shield list Katherine Modzelewski 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 Katherine Modzelewski affiliated with any hospitals?

According to CMS data, Katherine Modzelewski is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Katherine Modzelewski was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.