Michael Modica, M.D.
NPI 1295926061 · Diagnostic Radiology Physician · Beverly Hills, CA
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Modica, M.D. is a Diagnostic Radiology Physician provider in Beverly Hills, CA (NPI 1295926061).
Provider details
- NPI number
- 1295926061
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- C193571 (CA)
Specialties & taxonomies
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
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
3,600 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) |
|---|---|---|
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 647 | $73 |
| Mri Scan of Upper Spinal Canal Without Contrast72141 | 313 | $70 |
| Mri Scan of Brain Without Contrast70551 | 267 | $75 |
| Mri Scan of Brain Before and After Contrast70553 | 232 | $123 |
| X-Ray of Chest, 1 View71045 | 150 | $8 |
| Ct Scan of Abdomen and Pelvis With Contrast74177 | 137 |
Practice location
Mailing address
Additional practice locations (1)
- 877 W Main StSuite 603Boise, ID 83702-5883Phone: (208) 367-2161Fax: (208) 367-2989
Registry dates
- Enumerated
- 2007-08-07
- Last updated
- 2024-10-23
- Certified
- 2024-10-23
Frequently asked questions
- What is Michael Modica's NPI number?
- Michael Modica's National Provider Identifier (NPI) is 1295926061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Modica's specialty?
- Michael Modica is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Modica located?
- Michael Modica's practice location on file with NPPES is 8750 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-2708.
- What is Michael Modica's phone number?
- The practice phone number listed in the NPPES registry for Michael Modica is (310) 689-3100.
- Does Michael Modica accept Medicare?
- Michael Modica is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Modica's NPI active?
- Yes — Michael Modica's NPI (1295926061) is active in the NPPES registry as of the last update on 2024-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.