Active NPI 1295253557 Individual Practitioner Female Practitioner

Abbey Lyn Modlin , ARNP

Nurse Practitioner • Des Moines, IA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Abbey Modlin, ARNP is a certified Nurse Practitioner practicing in Des Moines, IA. With approximately 9 years of clinical experience since graduating from Creighton University School Of Medicine in 2017, Abbey Modlin delivers high-quality medical care to the local community at 411 LAUREL ST STE 3262.

Abbey Modlin is affiliated with Mercy Clinics Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

411 Laurel St Ste 3262

Des Moines, IA 503143027

Telephone 5156435100

Fax 5156435150

Associated Practice Facility / Clinic

🏢 Mercy Clinics, Inc. Facility NPI 1457691941

Medicare Profile & Education

Medical School

Creighton University School Of Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Des Moines, IA

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs +0.1 yrs vs City Avg

City Avg: 8.9 Yrs

State Avg: 11.8 Yrs

Regional Practice Density

147 Specialists

Practicing in Des Moines, IA (1307 Statewide)

Telehealth Adoption Rate

13.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

62.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Modlin (9 Years) 9 Yrs

Des Moines Specialty Average (8.9 Years) 8.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	746	342	$150.23	$76.22
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	428	213	$93.55	$27.30
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	219	144	$38.00	$13.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	27	$203.68	$74.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$247.00	$103.93
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	16	15	$103.25	$18.20

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	767	327	$150.14	$77.40
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	382	176	$80.08	$27.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	23	$199.03	$61.56
83036 Hemoglobin A1C level	24	15	$17.00	$3.21
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$99.95	$52.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$247.00	$105.30

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	594	280	$150.96	$79.12
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	260	134	$80.80	$28.28
99213 Established patient office or other outpatient visit, typically 15 minutes	80	67	$98.97	$53.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	18	$195.50	$63.59

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	548	279	$152.18	$80.77
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	140	92	$80.57	$28.80
99441 Telephone medical discussion with physician, 5-10 minutes	44	40	$58.09	$29.19
99442 Telephone medical discussion with physician, 11-20 minutes	38	34	$114.89	$54.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	20	$138.00	$57.82
99213 Established patient office or other outpatient visit, typically 15 minutes	33	33	$99.18	$54.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	20	$189.52	$68.30
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	20	16	$95.20	$25.92

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	171	167	$201.70	$85.90
83036 Hemoglobin A1C level	159	158	$17.00	$9.34
99213 Established patient office or other outpatient visit, typically 15 minutes	117	96	$99.67	$41.92
99213 Established patient office or other outpatient visit, typically 15 minutes	97	95	$137.00	$56.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	81	$150.58	$64.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	89	50	$138.00	$59.14
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	85	70	$29.04	$10.71
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	60	58	$32.00	$11.68
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	35	28	$96.00	$27.71
36415 Insertion of needle into vein for collection of blood sample	29	28	$5.00	$2.94
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	27	22	$81.78	$29.64
80061 Blood test, lipids (cholesterol and triglycerides)	21	21	$23.00	$13.12
82044 Urine microalbumin (protein) analysis	20	20	$8.00	$6.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$48.00	$20.94

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	583	355	$202.00	$85.84
83036 Hemoglobin A1C level	521	329	$17.00	$10.45
80061 Blood test, lipids (cholesterol and triglycerides)	126	119	$23.00	$14.46
82044 Urine microalbumin (protein) analysis	106	103	$8.00	$6.05
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	80	62	$96.00	$28.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	50	$136.78	$57.94
99213 Established patient office or other outpatient visit, typically 15 minutes	57	51	$136.26	$58.24
36415 Insertion of needle into vein for collection of blood sample	47	47	$5.00	$2.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$309.00	$130.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	44	$123.00	$58.69
35301 Removal of blood clot and portion of artery of neck	18	18	$851.00	$142.14

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IA A130603

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Mercy Clinics Inc

1111 6th Ave E Tower, Des Moines, IA 503142610

Mercy Clinics Inc

330 Laurel St, Des Moines, IA 503143044

Phone: 5156436290

Mercy Clinics Inc

1111 6th Ave, Des Moines, IA 503142610

Mercy Clinics Inc

800 E 1st St, Ankeny, IA 500212077

Mercy Clinics Inc

411 Laurel St, Des Moines, IA 503143027

Practice Associates & Co-Workers

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

17 Associated Practitioners

Melissa Batt , ARNP

Nurse Practitioner - Adult Health

NPI 1013311778

Advanced Registered Nurse Practitioner

Dr. Pearl Dy , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1134396021

Doctor of Medicine (M.D.)

Dr. Vanitha Singaram , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1306065578

Doctor of Medicine (M.D.)

Laurie Hinrichs , PA

Physician Assistant

NPI 1316017916

Physician Assistant

Lisa Netten-Foster , PA-C

Physician Assistant

NPI 1316042625

Physician Assistant (Certified)

Dana Rich , NP

Nurse Practitioner - Family

NPI 1336424795

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 20, 2019

Registered at 411 LAUREL ST STE 3262, DES MOINES, IA 503143027 (Tel: 5156435100)

📍

Updated Business Mailing Address February 20, 2019

Registered at PO BOX 1475, DES MOINES, IA 503051475 (Tel: 5156435100)

✅

NPI Profile Active September 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 06, 2017

Registered at 5880 UNIVERSITY AVE, WEST DES MOINES, IA 502668209 (Tel: 5156333600)

📍

Updated Business Mailing Address September 06, 2017

Registered at PO BOX 9170, DES MOINES, IA 503069170 (Tel: 5156333600)

👤

Provider Name / Credentials Updated September 06, 2017

Recorded as ABBEY MODLIN, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2017

Nurse Practitioner (License #A130603 in IA)

🟢

Initial NPI Registration & Enumeration September 06, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1295253557

Entity Type:

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

Enumeration Date: September 06, 2017

Last Update: February 20, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1475

Des Moines, IA 503051475

Phone: 5156435100

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.