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LOUIS A MODICA M.D.
NPI 1982699880
Surgery in Mountain Home, TN

Active since September 16, 2005PECOS Enrolled
BUILDING #8 DOGWOOD AVE, VAMC, MOUNTAIN HOME, TN 37684(423) 439-7201(423) 439-7219 Get Directions Write a Review

NPPES record last updated: February 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Louis A Modica M.d. NPPES

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

LOUIS A MODICA M.D. (NPI 1982699880) is an individual surgery provider in Mountain Home, Tennessee, licensed in Tennessee (MD15612) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982699880
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameLOUIS A MODICACredential: M.D.
Location AddressBUILDING #8 DOGWOOD AVE, VAMCMountain Home, TN 37684-6062
Mailing AddressPo Box 699Mountain Home, TN 37684-0699 · (423) 433-6039 · Fax (423) 433-6060
Phone(423) 439-7201
Fax(423) 439-7219
Sole ProprietorNo
Enumeration DateSeptember 16, 2005
Last NPPES UpdateFebruary 3, 2011
✔ NPI 1982699880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TN · MD15612
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
BUILDING #8 DOGWOOD AVE, Mountain Home, TN 37684
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Other Identifiers 1

Medicare UPINA97257

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Louis A Modica M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37684 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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 Louis Modica's NPI number?

The NPI number for Louis Modica is 1982699880. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Louis Modica located?

Louis Modica practices at Building #8 Dogwood Ave Vamc, Mountain Home, TN 37684. The listed phone number is (423) 439-7201.

What is Louis Modica's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Louis Modica enrolled in Medicare?

Yes. Louis Modica is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Louis Modica was last updated on February 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.