Joseph Modrak, MD
NPI 1801820162 · Pulmonary Disease Physician · Rochester, NY
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Joseph Modrak, MD is a Pulmonary Disease Physician provider in Rochester, NY (NPI 1801820162).
Provider details
- NPI number
- 1801820162
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 188210 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
395 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) |
|---|---|---|
| Sleep Study Including Heart Rate, Breathing, and Sleep Time95800 | 78 | $67 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 51 | $62 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 50 | $96 |
| 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 | 37 | $15 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 32 | $76 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Suvorexantbrand: Belsomra | 19 |
| Gabapentin | 17 |
| Pramipexole Di-Hclbrand: Pramipexole Dihydrochloride | 13 |
| Diazepam | 13 |
| Clonazepam | 12 |
| Sodium Oxybate | 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 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
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2023-07-03
Frequently asked questions
- What is Joseph Modrak's NPI number?
- Joseph Modrak's National Provider Identifier (NPI) is 1801820162, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Joseph Modrak's specialty?
- Joseph Modrak is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Joseph Modrak located?
- Joseph Modrak's practice location on file with NPPES is 601 Elmwood Ave, Rochester, NY 14642-0001.
- What is Joseph Modrak's phone number?
- The practice phone number listed in the NPPES registry for Joseph Modrak is (585) 275-4861.
- Does Joseph Modrak accept Medicare?
- Joseph Modrak is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Joseph Modrak's NPI active?
- Yes — Joseph Modrak's NPI (1801820162) is active in the NPPES registry as of the last update on 2023-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.