Joseph Modica, MD
NPI 1023545654 · Neurology Physician · Buffalo, NY
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Joseph Modica, MD is a Neurology Physician provider in Buffalo, NY (NPI 1023545654).
Provider details
- NPI number
- 1023545654
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 301104 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
771 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 145 | $169 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 126 | $122 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 75 | $60 |
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 | 68 | $121 |
| Infusion Into a Vein for Therapy, Prevention, Or Diagnosis, Each Additional Hour96366 | 66 | $19 |
| Infusion Into a Vein for Therapy, Prevention, Or Diagnosis, 1 Hour Or Less96365 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 53 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Donepezil Hcl | 659 | 170 |
| Carbidopa/Levodopabrand: Carbidopa-Levodopa | 517 | 127 |
| Sertraline Hcl | 247 | 58 |
| Memantine Hcl | 190 | 45 |
| Carbidopa/Levodopabrand: Carbidopa-Levodopa Er | 158 | 40 |
| Gabapentin | 126 | 35 |
| Quetiapine Fumarate | 121 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,136 across 108 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-05-13
- Last updated
- 2026-05-04
- Certified
- 2026-05-04
Frequently asked questions
- What is Joseph Modica's NPI number?
- Joseph Modica's National Provider Identifier (NPI) is 1023545654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Joseph Modica's specialty?
- Joseph Modica is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Joseph Modica located?
- Joseph Modica's practice location on file with NPPES is 40 George Karl Blvd, Buffalo, NY 14221-7183.
- What is Joseph Modica's phone number?
- The practice phone number listed in the NPPES registry for Joseph Modica is (716) 250-2000.
- Does Joseph Modica accept Medicare?
- Joseph Modica is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Joseph Modica's NPI active?
- Yes — Joseph Modica's NPI (1023545654) is active in the NPPES registry as of the last update on 2026-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.