Active NPI 1164503082 Individual Practitioner Male Practitioner

Dr. Erik Joseph Modlo , MD

Internal Medicine • Lodi, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Erik Modlo, MD is a certified Internal Medicine practicing in Lodi, OH. With approximately 23 years of clinical experience since graduating from Northeastern Ohio University College Of Medicine in 2003, Dr. Modlo delivers high-quality medical care to the local community at 225 ELYRIA ST.

Dr. Modlo is affiliated with Cleveland Clinic 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, new patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

225 Elyria St

Lodi, OH 442541031

Telephone 3309489939

Fax 3309482263

Associated Practice Facility / Clinic

🏢 Partners Physician Group Facility NPI 1124067160

Medicare Profile & Education

Medical School

Northeastern Ohio University College Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lodi, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs Matches City Avg

City Avg: 23.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Lodi, OH (5516 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

83.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Modlo (23 Years) 23 Yrs

Lodi Specialty Average (23.0 Years) 23.0 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	104	65	$624.00	$107.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	95	70	$910.00	$146.21

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	88	61	$416.95	$93.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	85	66	$586.00	$138.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	50	$409.00	$93.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	40	$586.00	$137.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$788.00	$174.98

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	97	85	$232.13	$109.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	52	$367.32	$95.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	43	$527.92	$142.32
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$107.21	$87.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$216.00	$76.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$515.24	$143.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$716.00	$179.85

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	164	114	$147.00	$126.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$210.00	$128.66
99213 Established patient office or other outpatient visit, typically 15 minutes	47	42	$99.00	$87.32
90662 Influenza vaccine split virus, preservative free	15	14	$82.00	$64.97
G0008 Administration of influenza virus vaccine	15	14	$33.00	$16.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	182	126	$99.00	$71.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	115	$147.00	$105.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	78	78	$210.00	$111.96
G0008 Administration of influenza virus vaccine	56	56	$33.00	$16.05
90662 Influenza vaccine split virus, preservative free	54	54	$82.00	$60.53
G0009 Administration of pneumococcal vaccine	27	27	$33.00	$16.01
99442 Telephone medical discussion with physician, 11-20 minutes	20	19	$105.40	$72.44
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$112.00	$112.00
99441 Telephone medical discussion with physician, 5-10 minutes	14	12	$55.86	$42.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$228.00	$160.86

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	230	142	$147.00	$103.42
99213 Established patient office or other outpatient visit, typically 15 minutes	207	126	$99.00	$71.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	98	98	$210.00	$110.94
G0008 Administration of influenza virus vaccine	55	51	$33.00	$15.75
90662 Influenza vaccine split virus, preservative free	51	47	$81.47	$54.43
99496 Transitional care management services for problem of high complexity	26	24	$395.00	$221.63
G0009 Administration of pneumococcal vaccine	20	20	$33.00	$15.75
81003 Automated urinalysis test	18	12	$5.00	$2.44
90670 Pneumococcal vaccine for injection into muscle	11	11	$180.00	$176.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	231	131	$99.00	$69.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	111	$147.00	$103.68
G0008 Administration of influenza virus vaccine	60	59	$33.00	$19.30
90662 Influenza vaccine split virus, preservative free	51	50	$79.16	$51.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$210.00	$111.79
G0009 Administration of pneumococcal vaccine	21	20	$33.00	$19.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$228.00	$158.93
81003 Automated urinalysis test	16	13	$5.00	$2.71
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$112.00	$105.59
99495 Transitional care management services for problem of at least moderate complexity	14	12	$280.00	$157.51
99496 Transitional care management services for problem of high complexity	12	12	$395.00	$223.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	165	125	$98.78	$69.67
99213 Established patient office or other outpatient visit, typically 15 minutes	88	74	$63.26	$53.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	74	$146.30	$102.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	58	$91.86	$80.50
G0008 Administration of influenza virus vaccine	49	49	$33.00	$23.76
90662 Influenza vaccine split virus, preservative free	48	48	$81.00	$48.05
99315 Nursing facility discharge day management, 30 minutes or less	15	15	$89.00	$79.30
G0009 Administration of pneumococcal vaccine	15	15	$33.00	$23.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$59.00	$41.42
90670 Pneumococcal vaccine for injection into muscle	13	13	$180.00	$176.40
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	11	11	$128.00	$99.64

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.097905

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NUCC Taxonomy Code: 208G00000X

State License OH 35.097905

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License OH 35.097905

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0053753 (OH)

Commercial Insurance / Payer ID Lodi Community Care Center Type 2 Npi #

1003849910 (OH)

Commercial Insurance / Payer ID Lodi Community Hospital Medicaid Group #

2396081 (OH)

Commercial Insurance / Payer ID Lodi Community Hospital Medicare #

3613031 (OH)

Commercial Insurance / Payer ID Lodi Community Hospital Type 2 Npi #

1801807870 (OH)

Hospital & Practice Group Affiliations

Cleveland Clinic

9500 Euclid Ave, Cleveland, OH 441950001

Phone: 2166361768

Practice Associates & Co-Workers

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

3 Associated Practitioners

Charlene Nagel , NP-C

Nurse Practitioner - Adult Health

NPI 1194157768

Nurse Practitioner (Certified)

Kristin Trill , NP-C

Nurse Practitioner - Family

NPI 1659773661

Nurse Practitioner (Certified)

Dr. Kimberly Sheets , DO

Family Medicine

NPI 1790765386

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 12, 2016

Registered at 225 ELYRIA ST, LODI, OH 442541031 (Tel: 3309489939)

📍

Updated Business Mailing Address January 12, 2016

Registered at 225 ELYRIA ST, LODI, OH 442541031 (Tel: 3309489939)

👤

Provider Name / Credentials Updated January 12, 2016

Recorded as ERIK MODLO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2016

Internal Medicine (License #35.097905 in OH)

🟢

Initial NPI Registration & Enumeration October 18, 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: 1164503082

Entity Type:

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

Enumeration Date: October 18, 2006

Last Update: January 12, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

225 Elyria St

Lodi, OH 442541031

Phone: 3309489939

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.