Susan Modesitt, M.D.
NPI 1427070598 · Gynecologic Oncology Physician · Charlottesville, VA
Enrolled with Medicare as Practitioner - Gynecological Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Modesitt, M.D. is a Gynecologic Oncology Physician provider in Charlottesville, VA (NPI 1427070598).
Provider details
- NPI number
- 1427070598
- Entity type
- Individual
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 0101240037 (VA)
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 tenure25% of score
19 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
332 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 102 | $98 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 60 | $127 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 52 | $139 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 29 | $183 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 27 | $66 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Dexamethasone | 72 | 25 |
| Ondansetron Hcl | 47 | 27 |
| Prochlorperazine Maleate | 42 | 26 |
| Apixabanbrand: Eliquis | 18 | — |
| Lidocaine/Prilocainebrand: Lidocaine-Prilocaine | 18 | 11 |
| Gabapentin | 16 | — |
| Ondansetronbrand: Ondansetron Odt | 16 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,260 across 1 record (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
- 2006-07-24
- Last updated
- 2022-03-28
- Certified
- 2022-03-28
Frequently asked questions
- What is Susan Modesitt's NPI number?
- Susan Modesitt's National Provider Identifier (NPI) is 1427070598, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Modesitt's specialty?
- Susan Modesitt is listed in the NPPES registry with a primary specialty of Gynecologic Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Susan Modesitt located?
- Susan Modesitt's practice location on file with NPPES is 1240 Lee St, Charlottesville, VA 22908-0001.
- What is Susan Modesitt's phone number?
- The practice phone number listed in the NPPES registry for Susan Modesitt is (434) 924-9333.
- Does Susan Modesitt accept Medicare?
- Susan Modesitt is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Modesitt's NPI active?
- Yes — Susan Modesitt's NPI (1427070598) is active in the NPPES registry as of the last update on 2022-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.