James Modlinger, M.D.
NPI 1770521056 · Internal Medicine Physician · Thousand Oaks, CA
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Modlinger, M.D. is a Internal Medicine Physician provider in Thousand Oaks, CA (NPI 1770521056).
Provider details
- NPI number
- 1770521056
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- License
- G014555 (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 tenure25% of score
20 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
1,294 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) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 245 | $3 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 206 | $15 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 153 | $181 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 133 | $129 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 89 | $208 |
| Ultrasound of Both Sides of Head and Neck Blood Flow |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 33 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rosuvastatin Calcium | 210 | 58 |
| Ezetimibe | 185 | 55 |
| Metoprolol Succinate | 133 | 35 |
| Empagliflozinbrand: Jardiance | 62 | 16 |
| Apixabanbrand: Eliquis | 55 | — |
| Amlodipine Besylate | 49 | 11 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,676 across 45 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
- 2006-06-02
- Last updated
- 2025-09-11
Frequently asked questions
- What is James Modlinger's NPI number?
- James Modlinger's National Provider Identifier (NPI) is 1770521056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Modlinger's specialty?
- James Modlinger is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is James Modlinger located?
- James Modlinger's practice location on file with NPPES is 1000 Newbury Rd, Thousand Oaks, CA 91320-3613.
- What is James Modlinger's phone number?
- The practice phone number listed in the NPPES registry for James Modlinger is (805) 375-5801.
- Does James Modlinger accept Medicare?
- James Modlinger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Modlinger's NPI active?
- Yes — James Modlinger's NPI (1770521056) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.