James Modir, M.D.
NPI 1902961535 · Pain Medicine (Anesthesiology) Physician · San Diego, CA
Enrolled with Medicare as Practitioner - Pain Management · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Modir, M.D. is a Pain Medicine (Anesthesiology) Physician provider in San Diego, CA (NPI 1902961535).
Provider details
- NPI number
- 1902961535
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A89775 (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
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
4,104 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) |
|---|---|---|
| Unclassified DrugsJ3490 | 629 | $18 |
| 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 | 491 | $17 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 327 | $289 |
| Ultrasonic Guidance for Needle Placement76942 | 273 | $63 |
| Aspiration And/Or Injection of Fluid Large Joint Using Ultrasound Guidance20611 | 185 | $124 |
| Injection of Trigger Points, 3 Or More Muscles |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Gabapentin | 13 |
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,106 across 75 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
Additional practice locations (1)
- 10666 N Torrey Pines RdLa Jolla, CA 92037-1027Phone: (858) 554-9100
Registry dates
- Enumerated
- 2006-12-26
- Last updated
- 2020-03-11
- Certified
- 2020-03-11
Frequently asked questions
- What is James Modir's NPI number?
- James Modir's National Provider Identifier (NPI) is 1902961535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Modir's specialty?
- James Modir is listed in the NPPES registry with a primary specialty of Pain Medicine (Anesthesiology) Physician (Allopathic & Osteopathic Physicians).
- Where is James Modir located?
- James Modir's practice location on file with NPPES is 15004 Innovation Dr, San Diego, CA 92128-3491.
- What is James Modir's phone number?
- The practice phone number listed in the NPPES registry for James Modir is (858) 605-7398.
- Does James Modir accept Medicare?
- James Modir is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Modir's NPI active?
- Yes — James Modir's NPI (1902961535) is active in the NPPES registry as of the last update on 2020-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.