James Modugno, DPM
NPI 1720423379 · Foot & Ankle Surgery Podiatrist · Monroe Township, NJ
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Modugno, DPM is a Foot & Ankle Surgery Podiatrist provider in Monroe Township, NJ (NPI 1720423379).
Provider details
- NPI number
- 1720423379
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MD00316800 (NJ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 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
397 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 218 | $98 |
| Removal of Fingernails Or Toenails, 6 Or More Nails11721 | 69 | $48 |
| Trimming of Dystrophic Nails, Any NumberG0127 | 33 | $22 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 24 | $120 |
| Removal of Noncancer Thickened Skin Growth, 2-4 Growths11056 | 21 | $86 |
| X-Ray of Foot, Minimum of 3 Views73630 | 18 | $39 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ammonium Lactate | 152 | 71 |
| Ciclopirox | 67 | 40 |
| Nystatin | 27 | 11 |
| Meloxicam | 15 | 13 |
| Diclofenac Sodium | 13 | — |
| Terbinafine Hcl | 13 | — |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 11 | — |
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 , 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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$171 across 2 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
- 2013-05-08
- Last updated
- 2013-05-08
Frequently asked questions
- What is James Modugno's NPI number?
- James Modugno's National Provider Identifier (NPI) is 1720423379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Modugno's specialty?
- James Modugno is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is James Modugno located?
- James Modugno's practice location on file with NPPES is 9 Samantha Dr, Monroe Township, NJ 08831-4044.
- What is James Modugno's phone number?
- The practice phone number listed in the NPPES registry for James Modugno is (732) 319-6124.
- Does James Modugno accept Medicare?
- James Modugno is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Modugno's NPI active?
- Yes — James Modugno's NPI (1720423379) is active in the NPPES registry as of the last update on 2013-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.