Active NPI 1578527891 Individual Practitioner Male Practitioner

Dr. Charles S Modlin , MD

Urology • Lafayette, IN

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Charles Modlin, MD is a registered Urology practitioner in Lafayette, IN. With approximately 39 years of clinical practice since completing medical education in 1987, Dr. Modlin provides healthcare services at the registered practice location at 5165 MCCARTY LN.

Dr. Modlin maintains professional affiliations with Wheeling Hospital Inc, The Metrohealth System, West Virginia University Medical Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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's, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5165 Mccarty Ln

Lafayette, IN 479058764

Telephone 7654488000

Fax 7654487619

Associated Practice Facility / Clinic

🏢 Arnett Clinic, Llc Facility NPI 1164490843

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Lafayette, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +16.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

20 Specialists

Practicing in Lafayette, IN (320 Statewide)

Telehealth Adoption Rate

45.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Modlin (39 Years) 39 Yrs

Lafayette Specialty Average (22.4 Years) 22.4 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	40	36	$109.00	$62.70
G2211 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's	30	28	$31.00	$15.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$151.00	$92.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$196.00	$78.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$244.00	$126.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	24	$109.00	$63.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$151.00	$94.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$244.00	$128.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$151.00	$95.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$244.00	$133.37
52000 Diagnostic exam of bladder and urethra using an endoscope	11	11	$542.00	$61.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	48	$359.00	$77.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$558.12	$126.60
52000 Diagnostic exam of bladder and urethra using an endoscope	31	29	$672.00	$78.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	25	$371.89	$76.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$565.20	$129.23
55700 Biopsy of prostate gland	19	19	$825.00	$122.75
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$74.00	$25.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	59	$349.00	$76.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	33	$349.00	$78.04
52000 Diagnostic exam of bladder and urethra using an endoscope	29	22	$693.00	$78.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$591.00	$123.14
55700 Biopsy of prostate gland	19	19	$825.00	$125.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$558.12	$128.06
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$221.00	$32.12
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$4996.02	$739.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	47	$339.00	$77.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	36	$339.00	$76.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$557.56	$126.81
99213 Established patient office or other outpatient visit, typically 15 minutes	33	26	$219.00	$50.39
55700 Biopsy of prostate gland	29	29	$825.00	$115.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$548.00	$127.04
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$219.00	$48.90
52000 Diagnostic exam of bladder and urethra using an endoscope	23	22	$714.00	$71.61
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$5119.93	$730.27
76872 Ultrasound scan of pelvic region through rectum	13	13	$228.00	$33.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	47	40	$218.87	$49.74
55700 Biopsy of prostate gland	29	28	$851.00	$122.01
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$222.45	$49.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	22	$339.00	$74.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$339.00	$76.69
76872 Ultrasound scan of pelvic region through rectum	23	23	$228.00	$32.88
52000 Diagnostic exam of bladder and urethra using an endoscope	23	23	$736.00	$85.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$548.00	$126.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$556.60	$126.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$328.00	$75.08
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$221.00	$31.87

Medical Specialties & State Licenses

CMS Verified: 2023-09-01

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IN 01067902A

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License OH 35064578M

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0232500 (OH)

Medicaid State Provider ID

300061295 (IN)

Commercial Insurance / Payer ID Medicare Ptan

815500567 (IN)

Hospital & Practice Group Affiliations

The Metrohealth System

2500 Metrohealth Dr, Cleveland, OH 441091900

Phone: 2167787800

West Virginia University Medical Corporation

1 Medical Ctr Dr, Morgantown, WV 265061200

Phone: 3045984865

Wheeling Hospital Inc

1 Medical Park, Wheeling, WV 260036379

Secondary Practice Locations

2500 Metrohealth Dr

Cleveland, OH 441091900

Phone: 2167787800

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Sidney Bruce , MD

Surgery

NPI 1003044520

Doctor of Medicine (M.D.)

Dr. Michelle Herberts , MD

Internal Medicine - Critical Care Medicine

NPI 1003270786

Doctor of Medicine (M.D.)

Betty Wellman , NP

Nurse Practitioner - Family

NPI 1003351750

Nurse Practitioner

Dr. Kathryn Stucker , MD

Student in an Organized Health Care Education/Training Program

NPI 1003495391

Doctor of Medicine (M.D.)

Dani'el Mckillip , RN

Registered Nurse - Obstetric, Inpatient

NPI 1003604265

Registered Nurse

Abigail Crum , FNP-BC

Nurse Practitioner - Family

NPI 1003687005

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location September 01, 2023

Registered at 5165 MCCARTY LN, LAFAYETTE, IN 479058764 (Tel: 7654488000)

📍

Updated Business Mailing Address September 01, 2023

Registered at 250 N SHADELAND AVE, INDIANAPOLIS, IN 462194959

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2023

Urology (License #35064578M in OH)

👤

Provider Name / Credentials Updated June 01, 2023

Recorded as CHARLES MODLIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2023

Urology (License #01067902A in IN)

📍

Updated Practice Location December 27, 2021

Registered at 2500 METROHEALTH DR, CLEVELAND, OH 441091900 (Tel: 2167787800)

📍

Updated Business Mailing Address December 27, 2021

Registered at 2500 METROHEALTH DR, CLEVELAND, OH 441091900 (Tel: 8002232273)

✅

NPI Profile Active February 07, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 07, 2008

Registered at 9500 EUCLID AVE, CLEVELAND, OH 441950001 (Tel: 8002232273)

📍

Updated Business Mailing Address February 07, 2008

Registered at 6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 441312139 (Tel: 8002232273)

👤

Provider Name / Credentials Updated February 07, 2008

Recorded as CHARLES MODLIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2008

Urology (License #35064578M in OH)

🟢

Initial NPI Registration & Enumeration April 13, 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: 1578527891

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 13, 2006

Last Update: September 01, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

250 N Shadeland Ave

Indianapolis, IN 462194959

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.