Charles Modlin, MD
NPI 1578527891 · Urology Physician · Lafayette, IN
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charles Modlin, MD is a Urology Physician provider in Lafayette, IN (NPI 1578527891).
Provider details
- NPI number
- 1578527891
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 35064578M (OH)
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
20 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
117 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 40 | $63 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 30 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 19 | $92 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 16 | $78 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 12 | $127 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 291 | 105 |
| Finasteride | 42 | 11 |
| Oxybutynin Chloridebrand: Oxybutynin Chloride Er | 24 | — |
| Alfuzosin Hclbrand: Alfuzosin Hcl Er | 18 | — |
| Ciprofloxacin Hcl | 18 | 17 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 2500 Metrohealth DrCleveland, OH 44109-1900Phone: (216) 778-7800
Registry dates
- Enumerated
- 2006-04-13
- Last updated
- 2023-09-01
- Certified
- 2023-09-01
Frequently asked questions
- What is Charles Modlin's NPI number?
- Charles Modlin's National Provider Identifier (NPI) is 1578527891, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Modlin's specialty?
- Charles Modlin is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Charles Modlin located?
- Charles Modlin's practice location on file with NPPES is 5165 Mccarty Ln, Lafayette, IN 47905-8764.
- What is Charles Modlin's phone number?
- The practice phone number listed in the NPPES registry for Charles Modlin is (765) 448-8000.
- Does Charles Modlin accept Medicare?
- Charles Modlin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Charles Modlin's NPI active?
- Yes — Charles Modlin's NPI (1578527891) is active in the NPPES registry as of the last update on 2023-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.