NPPES file of Aug 9, 2026

Scott Alan Modena, M.D.

Gastroenterology Physician · Medford, NJ

Scott Alan Modena, M.D. is a gastroenterology physician with a practice address in Medford, New Jersey, and NPI 1659339133, issued on May 3, 2006. Check the license (New Jersey 25MA07874900, as entered in NPPES) on the New Jersey 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
1659339133
Name
Scott Alan Modena
Credential
M.D.
Primary taxonomy
Gastroenterology Physician 207RG0100X
License numbers
25MA07874900 NJ
MD417817 PA
Self-reported in NPPES; status is on the state search
Practice location
128 Route 70 Ste 1B Right, Medford, NJ 08055
Phone
(856) 237-8045
Enumerated
May 3, 2006
Record last updated
Oct 8, 2024
Fax
(856) 237-8047
Medicaid ID
0445894 NJ
Medicare enrollment
Enrolled (PECOS I20050505000034); accepts Medicare assignment
Medical or professional school
State University Of Ny Upstate Medical University, 1999
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 Scott Alan Modena in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
    Search for license 25MA07874900
    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 New Jersey license search

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21% more Medicare Part D claims than the average gastroenterology physician in 2024

984 Medicare Part D claims for 338 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims.

  1. Scott Modena984
  2. Specialty average811

Most prescribed

  1. Pantoprazole Sodium290 claims
  2. Omeprazole145 claims
  3. Sod Sulf-Potass Sulf-Mag Sulf110 claims
  4. Dicyclomine Hcl60 claims
  5. Esomeprazole Magnesium47 claims
  6. Famotidine43 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): 100 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.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  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, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $532.26

26 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Scott Modena$532.26
  2. Specialty average$5,015.95

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. Virtua Medical Group, PAMedford, NJ

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

Scott Alan Modena among 735 gastroenterology physician records in New Jersey

Scott Alan Modena, M.D. is one of 735 gastroenterology physician records with a practice address in New Jersey. 89% 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 12% of them.

  • NPI issued2006 · 12% of these records are older, 44% newer
  • In a Medicare fileYes · 89% of these records are
  • In the CMS Doctors and Clinicians fileYes · 77% of these records are
  • Graduated1999 · median 2000 among the 564 with a school on file
  • Record last updated2024 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gastroenterology Physician providers in New Jersey

There are 735 gastroenterology physician records in New Jersey.

The 8 gastroenterology physician records with the nearest ZIP codes

  1. Melville Ackerman, MDMedford, NJ 080551598707580
  2. Angela Frates, MDMedford, NJ 080551144423765
  3. Jane Jaffe, D.O.Medford, NJ 080551144485152
  4. Cristina Capanescu, M.D.Mount Laurel, NJ 080541316110422
  5. Adib Chaaya, MDMount Laurel, NJ 080541124211925
  6. Joshua Desipio, M.D.Mount Laurel, NJ 080541063628360
  7. Adam Elfant, MDMount Laurel, NJ 080541508930298
  8. Daniel Garrido, MDMount Laurel, NJ 080541043717549

Common questions

What is Scott Alan Modena, M.D.'s NPI number?

Scott Alan Modena, M.D.'s National Provider Identifier (NPI) is 1659339133, issued on May 3, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Scott Alan Modena, M.D. located?

The NPPES record lists a practice address at 128 Route 70 Ste 1B Right, Medford, NJ, 08055. Phone: (856) 237-8045. Providers update this record themselves, so call before visiting.

How can I verify Scott Alan Modena, M.D.'s license?

NPPES lists New Jersey license number 25MA07874900, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Scott Alan Modena, M.D. prescribe under Medicare Part D?

In 2024, Scott Alan Modena, M.D. had 984 Medicare Part D claims for 338 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.

What is Scott Alan Modena, M.D.'s MIPS final score?

The 2023 MIPS final score is 100 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.