Ashley Dora Modica, M.D.
Surgery Physician · Smithtown, NY
Ashley Dora Modica, M.D. is a surgery physician with a practice address in Smithtown, New York, and NPI 1588000897, issued on May 14, 2013. Check the license on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Ashley Dora Modica
- Credential
- M.D.
- Primary taxonomy
- Surgery Physician 208600000X
- Practice location
- 19 Columbus Ave, Smithtown, NY 11787
- Phone
- (631) 255-6261
- Enumerated
- May 14, 2013
- Record last updated
- Jul 21, 2022
- Medicare enrollment
- Enrolled (PECOS I20221209000155); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 2,053 in New York → Look up another NPI →
Verify Ashley Dora Modica in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the ProfessionsCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
66% fewer Medicare Part D claims than the average surgery physician in 2024
50 Medicare Part D claims for 12 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $218.29
5 payments; by number, the most common kind was food and beverage; the largest payer was Organogenesis Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- St Charles Hospital CorpPort Jefferson, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ashley Dora Modica among 2,053 surgery physician records in New York
Ashley Dora Modica, M.D. is one of 2,053 surgery physician records with a practice address in New York. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 76% of them.
- NPI issued2013 · 76% of these records are older, 22% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2013 · median 2002 among the 1,212 with a school on file
- Record last updated2022 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in New York
There are 2,053 surgery physician records in New York.
All 2,053 in New York → Every provider in Smithtown → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- John Robinson, M.D.Smithtown, NY 117871356351423
- Baiju Gohil, M.D.Hauppauge, NY 117881700859683
- Kinga Powers, M.D.Stony Brook, NY 117901609913979
- Mohan BadheySyosset, NY 117911467524777
- Chetna Bakshi, M.D.Syosset, NY 117911578982187
- Lester Cooperstone, MDSyosset, NY 117911104806363
- Alan Geiss, MDSyosset, NY 117911659441004
- Heather McMullen, MDSyosset, NY 117911760469621
Common questions
What is Ashley Dora Modica, M.D.'s NPI number?
Ashley Dora Modica, M.D.'s National Provider Identifier (NPI) is 1588000897, issued on May 14, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Ashley Dora Modica, M.D. located?
The NPPES record lists a practice address at 19 Columbus Ave, Smithtown, NY, 11787. Phone: (631) 255-6261. Providers update this record themselves, so call before visiting.
How can I verify Ashley Dora Modica, M.D.'s license?
Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Ashley Dora Modica, M.D. prescribe under Medicare Part D?
In 2024, Ashley Dora Modica, M.D. had 50 Medicare Part D claims for 12 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.