Active NPI 1689894578 Individual Practitioner Female Practitioner

Dr. Prema Modak , MD

Ophthalmology • Fairfax, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prema Modak, MD is a certified Ophthalmology practicing in Fairfax, VA. With approximately 24 years of clinical experience since graduating from Rutgers New Jersey Medical School in 2002, Dr. Modak delivers high-quality medical care to the local community at 3998 FAIR RIDGE DR STE 105.

Dr. Modak is affiliated with Eye Specialists And Surgeons Of Northern Virginia Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of visual field with extended testing, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3998 Fair Ridge Dr Ste 105

Fairfax, VA 220332980

Telephone 5713492191

Associated Practice Facility / Clinic

🏢 Eye Specialists And Surgeons Of Northern Virginia, Llc Facility NPI 1275904674

Medicare Profile & Education

Medical School

Rutgers New Jersey Medical School

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Fairfax, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +1.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

27 Specialists

Practicing in Fairfax, VA (619 Statewide)

Telehealth Adoption Rate

3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Modak (24 Years) 24 Yrs

Fairfax 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	156	117	$325.00	$138.94
92083 Exam of visual field with extended testing	106	77	$150.00	$70.60
92133 Imaging of optic nerve	53	47	$150.00	$36.69
92250 Photography of the retina	50	49	$200.00	$37.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$425.00	$181.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$465.00	$195.47
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$215.00	$99.23
92134 Imaging of retina	14	14	$150.00	$41.55

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	96	64	$325.00	$141.85
92083 Exam of visual field with extended testing	80	53	$150.00	$72.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$425.00	$189.87
92133 Imaging of optic nerve	35	33	$150.00	$38.04
92250 Photography of the retina	32	31	$196.88	$40.84
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$215.00	$103.58
92134 Imaging of retina	14	14	$150.00	$43.74
76514 Ultrasound scan of cornea to determine thickness	13	13	$50.00	$11.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92083 Exam of visual field with extended testing	85	66	$150.00	$75.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	79	$325.00	$149.11
99213 Established patient office or other outpatient visit, typically 15 minutes	63	47	$215.00	$104.44
92020 Examination of cornea and iris using lens device and slit lamp	51	47	$75.00	$32.70
92133 Imaging of optic nerve	48	45	$150.00	$40.20
76514 Ultrasound scan of cornea to determine thickness	45	41	$50.00	$12.58
92250 Photography of the retina	30	30	$150.00	$40.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$425.00	$193.85
92134 Imaging of retina	19	14	$150.00	$45.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92083 Exam of visual field with extended testing	68	58	$150.00	$77.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	58	$266.81	$149.89
99213 Established patient office or other outpatient visit, typically 15 minutes	44	36	$178.07	$107.60
92250 Photography of the retina	42	42	$150.00	$43.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$291.18	$196.18
92020 Examination of cornea and iris using lens device and slit lamp	34	32	$75.00	$32.91
76514 Ultrasound scan of cornea to determine thickness	30	28	$50.00	$12.99
92133 Imaging of optic nerve	27	27	$150.00	$41.23
66821 Removal of recurring cataract in lens capsule using a laser	16	11	$600.00	$395.83
92134 Imaging of retina	13	13	$150.00	$46.57
92014 Established patient complete exam of visual system	12	12	$150.00	$150.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92083 Exam of visual field with extended testing	50	46	$150.00	$75.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$250.00	$188.93
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$150.00	$85.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$250.00	$125.24
92133 Imaging of optic nerve	27	26	$150.00	$40.47
76514 Ultrasound scan of cornea to determine thickness	21	21	$50.00	$13.15
92020 Examination of cornea and iris using lens device and slit lamp	21	21	$75.00	$32.05
92250 Photography of the retina	12	12	$150.00	$48.00
92012 Established patient problem focused exam of visual system	12	12	$150.00	$104.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92083 Exam of visual field with extended testing	99	97	$118.18	$74.94
92014 Established patient complete exam of visual system	99	93	$170.00	$145.98
92020 Examination of cornea and iris using lens device and slit lamp	74	74	$59.32	$31.42
92133 Imaging of optic nerve	70	70	$92.14	$39.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$236.11	$182.72
99213 Established patient office or other outpatient visit, typically 15 minutes	37	30	$150.00	$84.38
92250 Photography of the retina	31	31	$114.52	$56.26
76514 Ultrasound scan of cornea to determine thickness	28	28	$46.07	$13.60
92134 Imaging of retina	16	16	$107.81	$45.02
95930 Measurement of nerve conduction using visual stimulation testing with report	16	16	$160.00	$81.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	235	167	$170.00	$140.18
92083 Exam of visual field with extended testing	132	121	$105.00	$72.13
92133 Imaging of optic nerve	112	105	$75.00	$38.68
92020 Examination of cornea and iris using lens device and slit lamp	109	104	$55.00	$29.45
92250 Photography of the retina	50	50	$100.00	$63.10
95930 Measurement of nerve conduction using visual stimulation testing with report	45	45	$176.89	$80.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$220.00	$180.14
92134 Imaging of retina	29	26	$75.00	$43.38
76514 Ultrasound scan of cornea to determine thickness	14	14	$40.00	$16.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	272	199	$170.00	$140.72
92083 Exam of visual field with extended testing	155	148	$105.00	$74.17
92133 Imaging of optic nerve	135	129	$75.00	$39.49
92020 Examination of cornea and iris using lens device and slit lamp	132	128	$55.00	$30.32
92250 Photography of the retina	56	55	$100.00	$74.70
95930 Measurement of nerve conduction using visual stimulation testing with report	53	53	$200.00	$153.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$220.38	$184.68
76514 Ultrasound scan of cornea to determine thickness	42	41	$40.00	$16.14
92134 Imaging of retina	36	28	$75.00	$45.72
92275 Recording of retinal electrical responses to external stimuli	16	16	$200.00	$173.19
92012 Established patient problem focused exam of visual system	15	15	$115.00	$97.65

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License VA 0101240540

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License MD D0070139

Hospital & Practice Group Affiliations

Eye Specialists And Surgeons Of Northern Virginia Llc

3998 Fair Ridge Dr, Fairfax, VA 220332980

Phone: 5713492191

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Kristen Dunbar , MD

Ophthalmology

NPI 1124384268

Doctor of Medicine (M.D.)

Dr. John Josephson , MD

Ophthalmology

NPI 1154588374

Doctor of Medicine (M.D.)

Dr. Erin Ong , MD, MS

Ophthalmology

NPI 1346773389

Doctor of Medicine (M.D.), Master of Science

Dr. Khushali Shah , MD, MPH

Ophthalmology - Cornea and External Diseases Specialist

NPI 1699352856

Doctor of Medicine (M.D.), Master of Public Health

Dr. Julia Pierce , OD

Optometrist

NPI 1811425705

Doctor of Optometry

Dr. Meghan Moroux , MD

Ophthalmology

NPI 1982067112

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location July 30, 2019

Registered at 3998 FAIR RIDGE DR STE 105, FAIRFAX, VA 220332980 (Tel: 5713492191)

📍

Updated Business Mailing Address July 30, 2019

Registered at 3998 FAIR RIDGE DR STE 105, FAIRFAX, VA 220332980 (Tel: 5713492191)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2019

Ophthalmology (License #0101240540 in VA)

✅

NPI Profile Active September 12, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 12, 2012

Registered at 15005 SHADY GROVE RD., SUITE 100, ROCKVILLE, MD 208506341 (Tel: 3012799696)

📍

Updated Business Mailing Address September 12, 2012

Registered at 15005 SHADY GROVE RD., SUITE 100, ROCKVILLE, MD 208506341 (Tel: 3012799696)

👤

Provider Name / Credentials Updated September 12, 2012

Recorded as PREMA MODAK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2012

Ophthalmology (License #D0070139 in MD)

🟢

Initial NPI Registration & Enumeration April 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1689894578

Entity Type:

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

Enumeration Date: April 26, 2007

Last Update: July 30, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3998 Fair Ridge Dr Ste 105

Fairfax, VA 220332980

Phone: 5713492191

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.