Anthony Modica, MD
NPI 1295749851 · Diagnostic Radiology Physician · New Orleans, LA
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anthony Modica, MD is a Diagnostic Radiology Physician provider in New Orleans, LA (NPI 1295749851).
Provider details
- NPI number
- 1295749851
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD.08792R (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
655 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| X-Ray of Chest, 1 View71045 | 265 | $8 |
| Ct Scan Head Or Brain Without Contrast70450 | 93 | $37 |
| Ct Scan of Abdomen and Pelvis With Contrast74177 | 43 | $82 |
| X-Ray of Abdomen, 1 View74018 | 31 | $8 |
| Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers93971 | 28 | $20 |
| Ct Scan of Upper Spine Without Contrast72125 | 23 | $45 |
| Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2024-09-25
- Certified
- 2024-09-25
Frequently asked questions
- What is Anthony Modica's NPI number?
- Anthony Modica's National Provider Identifier (NPI) is 1295749851, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anthony Modica's specialty?
- Anthony Modica is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Anthony Modica located?
- Anthony Modica's practice location on file with NPPES is 1514 Jefferson Hwy, New Orleans, LA 70121-2429.
- What is Anthony Modica's phone number?
- The practice phone number listed in the NPPES registry for Anthony Modica is (504) 842-3470.
- Does Anthony Modica accept Medicare?
- Anthony Modica is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anthony Modica's NPI active?
- Yes — Anthony Modica's NPI (1295749851) is active in the NPPES registry as of the last update on 2024-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.