2026 NPPES data Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician NPI 1164503082 M.D.
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ERIK MODLO, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in LODI, Ohio. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
256
Medicare Part D claims · 92 beneficiaries · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician avg: 128
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

ERIK MODLO, M.D. filed 256 Medicare Part D claims in 2023 as a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in LODI, Ohio, prescribing 81% generic.

256
Part D claims, 2023
81%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ERIK MODLO, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

256 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

ERIK MODLO, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ERIK MODLO, M.D.?

Quality data not reported

NPI registry status

Active

Issued 10/18/2006

NPI 1164503082

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Mid-sized

5,062 US NPIs in this specialty

Medicare Part D claims

256 100% vs specialty avg

2023 prescription claims

Specialty avg: 128

Specialty distribution in Ohio

How Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician compares to other specialties among Ohio providers

Ohio providers

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician share within Ohio

1. Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician share within Ohio

Specialty board-certification context

Estimated specialty board-certified rate — Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician ABMS/AOA estimate

Est. board-certified rate (Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ERIK MODLO, M.D. appears in the CMS NPPES registry as a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider holding M.D. credentials at 225 ELYRIA ST, LODI, OH, 44254, with a listed phone of (330) 948-9939. NPI 1164503082 was issued on 10/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MODLO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 256 prescription claims written by this provider, covering 92 Medicare beneficiaries and totaling roughly $76K in drug spend, split 19% brand-name and 81% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician is a mid-sized specialty nationwide, with 5,062 enrolled providers across 52 states and an average of 128 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

225 ELYRIA ST
LODI, OH 44254

Provider Details

NPI 1164503082
Specialty Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Credentials M.D.
Gender Male
NPI Issued 10/18/2006

Hospital and facility affiliations

Facilities where ERIK MODLO, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CLEVELAND CLINIC
★★★★☆ 4/5
CLEVELAND, OH
Acute Care Hospitals
CMS CCN: 360180

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Ohio OMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to ERIK MODLO, M.D.. To verify ERIK MODLO, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ERIK MODLO, M.D. — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 256 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

256
Total Claims
$76K
Total Drug Cost
92
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
441
Total Day Supply
12,444
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$55K
Generic Drug Cost
$20K
Antibiotic Claims
17

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.07
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ERIK MODLO, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Nystatin
67
Liothyronine Sodium
23
Levothyroxine Sodium
17
Colesevelam Hcl
16
Creon
Lipase/Protease/Amylase
14

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Overview

How ERIK MODLO, M.D. fits within the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician landscape nationally.

5,062
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in US
52
States with Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
128
Avg Claims per Provider

ERIK MODLO, M.D.'s 256 claims are above the specialty average of 128.

Nearby Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in Ohio

Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as MODLO.

Compare Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ERIK MODLO, M.D.'s specialty?
ERIK MODLO, M.D. specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician and practices in LODI, Ohio. Credentials: M.D..
How much does ERIK MODLO, M.D. prescribe under Medicare Part D?
In 2023, ERIK MODLO, M.D. wrote 256 Medicare Part D claims totaling $76K in drug costs for 92 beneficiaries.
Where is ERIK MODLO, M.D. located?
ERIK MODLO, M.D. is located at 225 ELYRIA ST, LODI, OH, 44254. Phone: (330) 948-9939.
What is ERIK MODLO, M.D.'s NPI number?
ERIK MODLO, M.D.'s National Provider Identifier (NPI) is 1164503082, issued on 10/18/2006.
Does ERIK MODLO, M.D. prescribe more brand-name or generic drugs?
ERIK MODLO, M.D.'s prescribing is 19% brand-name and 81% generic drugs by claim count, with $55K in brand drug costs.
How many Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers are there in the US?
There are 5,062 Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers across 52 states in the US. The average Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider writes 128 Medicare Part D claims per year.
What drugs does ERIK MODLO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ERIK MODLO, M.D.'s most frequently prescribed drugs include Nystatin, Liothyronine Sodium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ERIK MODLO, M.D. accept Medicare?
ERIK MODLO, M.D. appears in CMS Medicare data with 256 Part D claims and 92 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ERIK MODLO, M.D.'s credentials?
ERIK MODLO, M.D.'s NPI is 1164503082 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology