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Active NPI 1750483244 Individual Practitioner Female Practitioner

Jennifer Christine Modesto , BS, PA-C

Physician Assistant • Melbourne, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jennifer Modesto, BS, PA-C is a certified Physician Assistant practicing in Melbourne, FL. With approximately 20 years of clinical experience since completing medical education in 2006, Jennifer Modesto delivers high-quality medical care to the local community at 7960 N WICKHAM RD STE 103.

Jennifer Modesto is affiliated with David V Spurlin, M.D., P.L.L.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, tangential biopsy of single skin lesion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7960 N Wickham Rd Ste 103

Melbourne, FL 329408096

Telephone 3214284737
Fax 3212416457
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Melbourne, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +5.3 yrs vs City Avg
City Avg: 14.7 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
110 Specialists

Practicing in Melbourne, FL (10376 Statewide)

Telehealth Adoption Rate
5.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Modesto (20 Years) 20 Yrs
Melbourne Specialty Average (14.7 Years) 14.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
445 364 $162.06 $76.38
17003 Destruction of precancer skin growth, 2-14 growths
442 102 $12.75 $5.44
11102 Tangential biopsy of single skin lesion
203 173 $182.68 $71.33
17000 Destruction of skin growth
198 167 $124.43 $40.74
17110 Destruction of up to 14 skin growths
155 135 $200.53 $91.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
107 97 $98.16 $47.93
11103 Biopsy of related skin growth, each additional growth
76 54 $91.78 $41.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
58 58 $201.70 $95.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
46 44 $235.00 $108.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
46 21 $2.81 $0.99
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
36 34 $556.63 $249.72
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
33 29 $330.39 $137.86
11900 Injection into skin growth, 1-7 growths
21 14 $89.99 $36.45
17004 Destruction of precancer skin growth, 15 or more growths
16 15 $308.89 $139.56
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
15 13 $515.17 $116.37
99202 New patient office or other outpatient visit, typically 20 minutes
13 13 $128.71 $61.19
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
12 12 $450.78 $94.66

Medical Specialties & State Licenses

CMS Verified: 2020-12-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601004881

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Railroad
P00349237 (MI)
Commercial Insurance / Payer ID Aetna
7463850

Hospital & Practice Group Affiliations

David V Spurlin, M.d., P.l.l.c.

33301 Woodward Ave, Birmingham, MI 480090905

Phone: 2486429111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Nadine Acri , MD

Dermatology - Procedural Dermatology

NPI 1306835681

Doctor of Medicine (M.D.)

Justin Fitz , PA-C

Dermatology - Procedural Dermatology

NPI 1386933570

Physician Assistant (Certified)

Alexandra Forrest

Physician Assistant

NPI 1568102598
Anna Whittington , PA-C

Physician Assistant - Medical

NPI 1568700490

Physician Assistant (Certified)

NPI 1831176858

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 17, 2020

Registered at 7960 N WICKHAM RD STE 103, MELBOURNE, FL 329408096 (Tel: 3214284737)

📍
Updated Business Mailing Address December 17, 2020

Registered at 7960 N WICKHAM RD STE 103, MELBOURNE, FL 329408096 (Tel: 3214284737)

NPI Profile Active June 20, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2011

Registered at 33301 WOODWARD AVE, BIRMINGHAM, MI 480090905 (Tel: 2486429111)

📍
Updated Business Mailing Address June 20, 2011

Registered at 33301 WOODWARD AVE, BIRMINGHAM, MI 480090905 (Tel: 2486429111)

👤
Provider Name / Credentials Updated June 20, 2011

Recorded as JENNIFER MODESTO, B.S., PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2011

Physician Assistant (License #5601004881 in MI)

🟢
Initial NPI Registration & Enumeration September 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750483244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2006
Last Update: December 17, 2020
Sole Proprietor: No

Mailing Address

7960 N Wickham Rd Ste 103

Melbourne, FL 329408096

Phone: 3214284737

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.