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Active NPI 1588000897 Individual Practitioner Female Practitioner

Dr. Ashley Dora Modica , MD

Surgery • Smithtown, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ashley Modica, MD is a certified Surgery practicing in Smithtown, NY. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Modica delivers high-quality medical care to the local community at 19 COLUMBUS AVE.

Dr. Modica is affiliated with St Charles Hospital Corp and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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

19 Columbus Ave

Smithtown, NY 117874624

Telephone 6312556261

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Smithtown, NY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs Matches City Avg
City Avg: 13.0 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Smithtown, NY (2269 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Modica (13 Years) 13 Yrs
Smithtown Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
13 13 $500.00 $256.62

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

St Charles Hospital Corp

200 Belle Terre Rd, Port Jefferson, NY 117771928

Phone: 6314746000

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Surgery

NPI Profile Active May 14, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2013

Registered at 19 COLUMBUS AVE, SMITHTOWN, NY 117874624 (Tel: 6312556261)

📍
Updated Business Mailing Address May 14, 2013

Registered at 19 COLUMBUS AVE, SMITHTOWN, NY 117874624

👤
Provider Name / Credentials Updated May 14, 2013

Recorded as ASHLEY MODICA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2013

Surgery (License #$$$$$$$$$ in NY)

🟢
Initial NPI Registration & Enumeration May 14, 2013

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: 1588000897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2013
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

19 Columbus Ave

Smithtown, NY 117874624

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.