DR. BRIAN DAVID MODENA (M.D., MSC) – Allergy & Immunology Physician, NPI 1235379207

DR. BRIAN DAVID MODENA (M.D., MSC) is a healthcare provider. based in La jolla, California. specializing in ALLERGY/IMMUNOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D., MSC. They hold a License No. A103242 (CA). The NPI Number for DR. BRIAN DAVID MODENA (M.D., MSC) is 1235379207

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN DAVID MODENA (M.D., MSC)
NPI
1235379207
Phone
(858) 260-2977
Address
9850 GENESEE AVE STE 710
Enumeration Date
3 March 2009
Last Update Date
9 April 2025

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8582602977
Graduation Year
2006 (20 years ago)
PAC ID
0042369555
Group Practice PAC ID
9436545274
Professional Enrollment ID
I20090512000482
Address ID
CA920371218LA9850XAVEX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:17State licenses:1Digital endpointsOther names

525 ALLERGY/IMMUNOLOGY in CA

Provider Addresses for DR. BRIAN DAVID MODENA (M.D., MSC)

  • 9850 GENESEE AVE STE 710

    LA JOLLA, CA 920371218

    Phone: (858) 260-2977

    Fax: (858) 260-2978

    Type: Mailing

  • 23600 Telo Ave Ste 130

    Torrance, CA 905054036

    Phone: (310) 833-1334

    Fax: (310) 833-0270

    Type: Location

  • 3816 Woodruff Ave Ste 209

    Long Beach, CA 908082145

    Phone: (562) 496-4749

    Fax: (562) 429-3329

    Type: Location

  • National Jewish Health, 1400, Jackson Street, Denver, Denver County, Colorado, 80206, United States

    DENVER, CO 802062761

    Phone: (303) 388-4461

    Fax: (303) 398-1211

    Type: Mailing

  • 9850 GENESEE AVE STE 420

    LA JOLLA, CA 920371212

    Phone: (858) 457-3270

    Fax: (858) 457-5723

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 372 Open Payments records for all available years, with a total value of $73,337.

Total Amount is formed as General ($72,087) + Research ($1,250) + Ownership ($0) = $73,337.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: GENZYME CORPORATION ($18,765).

Total Amount

$73,337

General + Research + Ownership

Payments

372

Total payment records

General Amount

$72,087

General payments

Research Amount

$1,250

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-05-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090512000482IAllergy/ImmunologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2356Injection, tezepelumab-ekko, 1 mg14,91013$0
J2182Injection, mepolizumab, 1 mg6,90012$0
J2357Injection, omalizumab, 5 mg4,44012$0
95004Test for allergy using allergenic extract2,96444$0
95044Test for allergy using skin patch1,44018$0
View full utilization report →

Insurance plans in this area (ZIP 92037)

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Provider's Procedures

DR. BRIAN DAVID MODENA (M.D., MSC) performs procedures in ALLERGY/IMMUNOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ALLERGY/IMMUNOLOGYCA95004Injection of allergenic extracts into skin, accessed through the skin136938
ALLERGY/IMMUNOLOGYCA95117Injection of incremental dosages of allergen, 2 or more injections5519

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436545274View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YCA
Allergy/Immunology, Pediatric MedicineCA
Nurse PractitionerCA
A L L E R G Y/ I M M U N O L O G YCA
Internal MedicineAZ
Physician AssistantCA
A L L E R G Y/ I M M U N O L O G YCA
Internal Medicine, Allergy/ImmunologyAZ
Allergy/Immunology, Internal MedicineFL
Nurse PractitionerCA

Reviews

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Frequently asked questions

What identifier follows DR. BRIAN DAVID MODENA (M.D., MSC) across health systems?
The NPI 1235379207 uniquely identifies DR. BRIAN DAVID MODENA (M.D., MSC) in U.S. healthcare data.
Should I treat DR. BRIAN DAVID MODENA (M.D., MSC) as an active provider?
Patients and plans typically see DR. BRIAN DAVID MODENA (M.D., MSC) as active in the national extract.
What does the directory say DR. BRIAN DAVID MODENA (M.D., MSC) does?
Insurance directories may phrase it differently, but here DR. BRIAN DAVID MODENA (M.D., MSC) maps to Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. BRIAN DAVID MODENA (M.D., MSC)?
DR. BRIAN DAVID MODENA (M.D., MSC) shows a connection to La Jolla, California in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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