NPPES file of Aug 9, 2026

James Kevin Modisette, M.D.

Nephrology Physician · Thibodaux, LA

James Kevin Modisette, M.D. is a nephrology physician with a practice address in Thibodaux, Louisiana, and NPI 1063413995, issued on Aug 2, 2005. Check the license (Louisiana 22699, as entered in NPPES) on the Louisiana State Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1063413995
Name
James Kevin Modisette
Credential
M.D.
Primary taxonomy
Nephrology Physician 207RN0300X
License number
22699 LA
Self-reported in NPPES; status is on the state search
Practice location
604 N. Acadia RD., Thibodaux, LA 70301
Phone
(985) 446-0871
Enumerated
Aug 2, 2005
Record last updated
Sep 25, 2009 (not updated in 17 years: call before relying on the address or phone)
Fax
(985) 446-0874
Medicaid ID
1492141 LA
Medicare enrollment
Enrolled (PECOS I20101015000296); accepts Medicare assignment
Medical or professional school
Louisiana State University School Of Medicine In New Orleans, 1996
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify James Kevin Modisette in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersLouisiana State Board of Medical Examiners
    Search for license 22699
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Louisiana license search

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31% fewer Medicare Part D claims than the average nephrology physician in 2024

1,007 Medicare Part D claims for 172 beneficiaries, against an average of 1,465 among the 10,986 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims.

  1. James Modisette1,007
  2. Specialty average1,465

Most prescribed

  1. Torsemide75 claims
  2. Calcitriol70 claims
  3. Amlodipine Besylate68 claims
  4. Losartan Potassium54 claims
  5. Levothyroxine Sodium47 claims
  6. Doxazosin Mesylate42 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.

The MIPS final score for 2023 (Medicare payment program): 80.5 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score69.8
  2. Costout of 100 · 30%41.4
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $473.02

24 payments; by number, the most common kind was food and beverage; the largest payer was Fresenius USA Marketing, Inc. The 8,230 providers of this specialty with any payment received $3,091.37 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James Modisette$473.02
  2. Specialty average$3,091.37

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

  1. Kidney Center OF South Louisiana, AmcThibodaux, LA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James Kevin Modisette among 219 nephrology physician records in Louisiana

James Kevin Modisette, M.D. is one of 219 nephrology physician records with a practice address in Louisiana. 90% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 76% newer
  • In a Medicare fileYes · 90% of these records are
  • In the CMS Doctors and Clinicians fileYes · 79% of these records are
  • Graduated1996 · median 2001 among the 172 with a school on file
  • Record last updated2009 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RN0300X and a Louisiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Nephrology Physician providers in Louisiana

There are 219 nephrology physician records in Louisiana.

The 8 nephrology physician records with the nearest ZIP codes

  1. Allen Vander, M.D.Thibodaux, LA 703011669473054
  2. Gregory Maidoh, M.D.Houma, LA 703601255498754
  3. Herminio Suazo-Vasquez, M.D.Houma, LA 703601093730988
  4. Shaminder Gupta, M.D.Houma, LA 703631730183401
  5. Vadym Rusnak, M.D.Houma, LA 703631093100026
  6. Syed Rab, MDHammond, LA 704031891751301
  7. Kimberly Williams, M.D.Hammond, LA 704031174543193
  8. Sousan Zadeh, DOHammond, LA 704031194920710

Common questions

What is James Kevin Modisette, M.D.'s NPI number?

James Kevin Modisette, M.D.'s National Provider Identifier (NPI) is 1063413995, issued on Aug 2, 2005. An NPI identifies a provider in billing; it is not a license.

Where is James Kevin Modisette, M.D. located?

The NPPES record lists a practice address at 604 N. Acadia RD., Thibodaux, LA, 70301. Phone: (985) 446-0871. Providers update this record themselves, so call before visiting.

How can I verify James Kevin Modisette, M.D.'s license?

NPPES lists Louisiana license number 22699, as entered by the provider. Search the Louisiana State Board of Medical Examiners at https://www.lsbme.la.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James Kevin Modisette, M.D. prescribe under Medicare Part D?

In 2024, James Kevin Modisette, M.D. had 1,007 Medicare Part D claims for 172 beneficiaries; the average among nephrology physician prescribers was 1,465. Part D covers Medicare prescriptions only.

What is James Kevin Modisette, M.D.'s MIPS final score?

The 2023 MIPS final score is 80.5 of 100. The average among 454,083 clinicians with a measured score was 83.5.

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.