Joseph Modrak, MD
Pulmonary Disease Physician · Rochester, NY
Joseph Modrak, MD is a pulmonary disease physician with a practice address in Rochester, New York, and NPI 1801820162, issued on Jul 10, 2006. Check the license (New York 188210, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Joseph Modrak
- Credential
- MD
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 188210 NY
Self-reported in NPPES; status is on the state search - Practice location
- 601 Elmwood Ave, Rochester, NY 14642
- Phone
- (585) 275-4861
- Enumerated
- Jul 10, 2006
- Record last updated
- Jul 3, 2023
- Fax
- (585) 273-1058
- Medicare enrollment
- Enrolled (PECOS I20090618000104); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 1,230 in New York → Look up another NPI →
Also registered at 601 Elmwood Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Joseph Modrak in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 188210Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
88% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
164 Medicare Part D claims for 44 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D.
Most prescribed
- Belsomra19 claims
- Gabapentin17 claims
- Diazepam13 claims
- Pramipexole Dihydrochloride13 claims
- Clonazepam12 claims
- Sodium Oxybate11 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 practice group's MIPS final score for 2023 (Medicare payment program): 94 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 3 group practices
- Pulmonary Disease Clinical GroupRochester, NY
- U OF R Neurology DepartmentCanandaigua, NY
- University OF RochesterRochester, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Joseph Modrak among 1,230 pulmonary disease physician records in New York
Joseph Modrak, MD is one of 1,230 pulmonary disease physician records with a practice address in New York. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 11% of them.
- NPI issued2006 · 11% of these records are older, 47% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 77% of these records are
- Graduated1989 · median 1999 among the 943 with a school on file
- Record last updated2023 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in New York
There are 1,230 pulmonary disease physician records in New York.
All 1,230 in New York → Every provider in Rochester → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Mark Frampton, MDRochester, NY 146421710917877
- Steve Georas, M.D.Rochester, NY 146421720032154
- Sandhya Khurana, M.B.,B.S.Rochester, NY 146421588678874
- Paul Levy, MDRochester, NY 146421629002084
- Augusto Litonjua, M.D.Rochester, NY 146421558318253
- Michael Nead, MDRochester, NY 146421144288572
- Irene Perillo, MDRochester, NY 146421487685921
- Carol Lynn Petronaci, MDRochester, NY 146421912938465
Common questions
What is Joseph Modrak, MD's NPI number?
Joseph Modrak, MD's National Provider Identifier (NPI) is 1801820162, issued on Jul 10, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Joseph Modrak, MD located?
The NPPES record lists a practice address at 601 Elmwood Ave, Rochester, NY, 14642. Phone: (585) 275-4861. Providers update this record themselves, so call before visiting.
How can I verify Joseph Modrak, MD's license?
NPPES lists New York license number 188210, as entered by the provider. 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 Joseph Modrak, MD prescribe under Medicare Part D?
In 2024, Joseph Modrak, MD had 164 Medicare Part D claims for 44 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Joseph Modrak, MD's MIPS final score?
The 2023 MIPS final score is 94 of 100, reported for the practice group. 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.