DAVID LAWERENCE MODDERS (PHD) – Clinical Psychologist, NPI 1346460862
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,602 CLINICAL PSYCHOLOGIST in FL
Provider Addresses for DAVID LAWERENCE MODDERS (PHD)
1050 OLD CAMP RD STE 100
THE VILLAGES, FL 321621762
Phone: (352) 674-1760
Fax: (352) 674-8960
Type: Location
1050 Old Camp Rd Ste 100
The Villages, FL 321621762
Phone: (352) 674-1760
Fax: (352) 674-8960
Type: Location
5051 SE 110TH ST
BELLEVIEW, FL 344203115
Phone: (352) 245-9157
Fax: (352) 245-3031
Type: Mailing
8877 SE 165TH MULBERRY LN
THE VILLAGES, FL 321625887
Phone: (352) 674-1750
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2012-10-12
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121012000164 | I | Clinical Psychologist | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32162)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | IL | |
| Family Practice | IL | |
| Internal Medicine | IL | |
| - | FL | |
| Family Practice | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Qualified Audiologist | FL | |
| Nurse Practitioner | FL |
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