Randolph Eugene Modlin, M.D.
Cardiovascular Disease Physician · White Sulphur Springs, WV
Randolph Eugene Modlin, M.D. is a cardiovascular disease physician with a practice address in White Sulphur Springs, West Virginia, and NPI 1942259114, issued on May 8, 2006. Check the license (West Virginia 25813, as entered in NPPES) on the West Virginia Board of Medicine; the Medicare figures below come from public CMS files.
- Name
- Randolph Eugene Modlin
- Credential
- M.D.
- Primary taxonomy
- Cardiovascular Disease Physician 207RC0000X
- License numbers
- 25813 WV
30837 GA
0101255193 VA
Self-reported in NPPES; status is on the state search - Practice location
- 320 W Main St, White Sulphur Springs, WV 24986
- Phone
- (304) 536-4870
- Enumerated
- May 8, 2006
- Record last updated
- Nov 28, 2016 (not updated in 10 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20140908001951); accepts Medicare assignment
- Medical or professional school
- Uniformed Services Uhs Fe Hebert School Of Med, 1985
- Entity
- Type 1 · individual
8 nearest cardiovascular disease physician records → All 111 in West Virginia → Look up another NPI →
Also registered at 320 W Main St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- William Cunningham, MDGastroenterology Physician1982643805
- Thomas Dotson, MDCardiovascular Disease Physician1124069141
- Manuel Gomez, MDAnatomic Pathology & Clinical Pathology Physician1841293636
- Constance Gottshall, MSRDNutritionist1073553905
- Douglas Jones, MDInternal Medicine Physician1346280278
- Richard Kline, MDEmergency Medicine Physician1649241035
Verify Randolph Eugene Modlin in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWest Virginia Board of Medicine
Search for license 25813Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
25% fewer Medicare Part D claims than the average cardiovascular disease physician in 2024
2,319 Medicare Part D claims for 271 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 11 claims were for opioids.
Most prescribed
- Metoprolol Succinate197 claims
- Atorvastatin Calcium154 claims
- Losartan Potassium119 claims
- Rosuvastatin Calcium108 claims
- Amlodipine Besylate90 claims
- Hydrochlorothiazide90 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): 89.4 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.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $191.89
11 payments; by number, the most common kind was food and beverage; the largest payer was Amgen Inc. The 16,686 providers of this specialty with any payment received $3,819.56 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
- Greenbrier Clinic IncWhite Sulphur Springs, WV
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Randolph Eugene Modlin among 111 cardiovascular disease physician records in West Virginia
Randolph Eugene Modlin, M.D. is one of 111 cardiovascular disease physician records with a practice address in West Virginia. 77% 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 14% of them.
- NPI issued2006 · 14% of these records are older, 33% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated1985 · median 1994 among the 71 with a school on file
- Record last updated2016 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a West Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
2 cardiovascular disease physician records list a practice address in White Sulphur Springs
They are 2 of the 78 NPPES records with a practice address in White Sulphur Springs, and 111 cardiovascular disease physician records in West Virginia.
All 111 in West Virginia → Every provider in White Sulphur Springs → Cardiovascular Disease Physician nationwide →
The 8 cardiovascular disease physician records with the nearest ZIP codes
- Thomas Dotson, MDWhite Sulphur Springs, WV 249861124069141
- Thomas Vondohlen, M.D.Caldwell, WV 249251790890879
- Douglas Bosack, MDLewisburg, WV 249011487658894
- Shahid Rana, MD FACCPrinceton, WV 247401588634430
- Sakib Najjar, M. D.Bluefield, WV 247011720042039
- Scott Duffy, MDSpencer, WV 252761306943741
- Omar Hallak, MDCharleston, WV 253011689854929
- Bassam Moushmoush, MDCharleston, WV 253011619961232
Common questions
What is Randolph Eugene Modlin, M.D.'s NPI number?
Randolph Eugene Modlin, M.D.'s National Provider Identifier (NPI) is 1942259114, issued on May 8, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Randolph Eugene Modlin, M.D. located?
The NPPES record lists a practice address at 320 W Main St, White Sulphur Springs, WV, 24986. Phone: (304) 536-4870. Providers update this record themselves, so call before visiting.
How can I verify Randolph Eugene Modlin, M.D.'s license?
NPPES lists West Virginia license number 25813, as entered by the provider. Search the West Virginia Board of Medicine at https://wvbom.wv.gov/public/search/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Randolph Eugene Modlin, M.D. prescribe under Medicare Part D?
In 2024, Randolph Eugene Modlin, M.D. had 2,319 Medicare Part D claims for 271 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.
What is Randolph Eugene Modlin, M.D.'s MIPS final score?
The 2023 MIPS final score is 89.4 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.