NPPES file of Aug 9, 2026

Susan C. Modesitt, M.D.

Gynecologic Oncology Physician · Charlottesville, VA

Susan C. Modesitt, M.D. is a gynecologic oncology physician with a practice address in Charlottesville, Virginia, and NPI 1427070598, issued on Jul 24, 2006. Check the license (Virginia 0101240037, as entered in NPPES) on the Virginia Department of Health Professions; 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
1427070598
Name
Susan C. Modesitt
Credential
M.D.
Primary taxonomy
Gynecologic Oncology Physician 207VX0201X
License numbers
0101240037 VA
91037 GA
Self-reported in NPPES; status is on the state search
Practice location
1240 Lee St, Charlottesville, VA 22908
Phone
(434) 924-9333
Enumerated
Jul 24, 2006
Record last updated
Mar 28, 2022
Fax
(434) 244-7526
Medicare enrollment
Enrolled (PECOS I20220207000378); accepts Medicare assignment
Medical or professional school
University Of Virginia School Of Medicine, 1995
Telehealth
Offers telehealth (CMS)
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.
Download card Updates feed

Also registered at 1240 Lee St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Reid AdamsSurgery Physician1982773503
  2. Folashade Adekunle, MDStudent in an Organized Health Care Education/Training Program1144960204
  3. Jenna Ally, MSN, AG-ACNP-BCAcute Care Nurse Practitioner1245779776
  4. Emily Ayers, MDHematology (Internal Medicine) Physician1033529896
  5. Joshua Barclay, M.D.Hospice and Palliative Medicine (Internal Medicine) Physician1376716779
  6. Samantha Batman, M.D.Gynecologic Oncology Physician1659671204

Verify Susan C. Modesitt in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101240037
    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 Virginia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

96% more Medicare Part D claims than the average gynecologic oncology physician in 2024

383 Medicare Part D claims for 70 beneficiaries, against an average of 195 among the 1,475 providers of this specialty who prescribed in Part D. 11 claims were for opioids.

  1. Susan Modesitt383
  2. Specialty average195

Most prescribed

  1. Dexamethasone72 claims
  2. Ondansetron Hcl47 claims
  3. Prochlorperazine Maleate42 claims
  4. Eliquis18 claims
  5. Lidocaine-Prilocaine18 claims
  6. Gabapentin16 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): 92.3 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 score73.8
  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; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $3,260.00

1 payment: consulting fee; the largest payer was Eisai Inc. The 1,199 providers of this specialty with any payment received $6,387.20 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Susan Modesitt$3,260.00
  2. Specialty average$6,387.20

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. The Emory Clinic IncAtlanta, GA

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

Susan C. Modesitt among 51 gynecologic oncology physician records in Virginia

Susan C. Modesitt, M.D. is one of 51 gynecologic oncology physician records with a practice address in Virginia. 76% 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 10% of them.

  • NPI issued2006 · 10% of these records are older, 43% newer
  • In a Medicare fileYes · 76% of these records are
  • In the CMS Doctors and Clinicians fileYes · 76% of these records are
  • Graduated1995 · median 2000 among the 39 with a school on file
  • Record last updated2022 · 41% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207VX0201X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gynecologic Oncology Physician providers in Virginia

There are 51 gynecologic oncology physician records in Virginia.

The 8 gynecologic oncology physician records with the nearest ZIP codes

  1. Willie AndersenCharlottesville, VA 229081609945229
  2. Samantha Batman, M.D.Charlottesville, VA 229081659671204
  3. Leigh Cantrell, M.D., MSPHCharlottesville, VA 229081306067020
  4. Linda Duska, MDCharlottesville, VA 229081447241807
  5. Jaime Kiff, MDCharlottesville, VA 229081588248819
  6. Charles Landen, M.D.Charlottesville, VA 229081043384282
  7. Kari Ring, MDCharlottesville, VA 229081790949600
  8. Peyton TaylorCharlottesville, VA 229081760551303

Common questions

What is Susan C. Modesitt, M.D.'s NPI number?

Susan C. Modesitt, M.D.'s National Provider Identifier (NPI) is 1427070598, issued on Jul 24, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Susan C. Modesitt, M.D. located?

The NPPES record lists a practice address at 1240 Lee St, Charlottesville, VA, 22908. Phone: (434) 924-9333. Providers update this record themselves, so call before visiting.

How can I verify Susan C. Modesitt, M.D.'s license?

NPPES lists Virginia license number 0101240037, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Susan C. Modesitt, M.D. prescribe under Medicare Part D?

In 2024, Susan C. Modesitt, M.D. had 383 Medicare Part D claims for 70 beneficiaries; the average among gynecologic oncology physician prescribers was 195. Part D covers Medicare prescriptions only.

What is Susan C. Modesitt, M.D.'s MIPS final score?

The 2023 MIPS final score is 92.3 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.