IPPOLITO MODICA (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1083897409

IPPOLITO MODICA (M.D.) is a healthcare provider. based in New york, New York. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 60-246899 (NY). The NPI Number for IPPOLITO MODICA (M.D.) is 1083897409

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
IPPOLITO MODICA (M.D.)
NPI
1083897409
Phone
(917) 697-9419
Address
1000 10TH AVE
Enumeration Date
7 December 2007
Last Update Date
7 December 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8455577112
Graduation Year
1995 (31 years ago)
PAC ID
1557449584
Group Practice PAC ID
7517042211
Professional Enrollment ID
I20080416000391
Address ID
NY109651298PE401XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,421 PATHOLOGY in NY

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Provider Addresses for IPPOLITO MODICA (M.D.)

  • Mount Sinai West, 1000, 10th Avenue, Hell's Kitchen, Manhattan Community Board 4, Manhattan, New York County, New York, 10019, United States

    NEW YORK, NY 100191147

    Phone: (917) 697-9419

    Fax: (212) 523-5435

    Mailing address matches the actual address.

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: 2008-04-16

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080416000391IPathologyNYTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity295174$0
88341Special stained specimen slides to examine tissue, each additional procedure13226$0
88307Pathology examination of tissue using a microscope, moderately high complexity7547$0
88342Special stained specimen slides to examine tissue, initial procedure7453$0
88300Pathology examination of tissue using a microscope, limited examination5243$0
View full utilization report →

Insurance plans in this area (ZIP 10019)

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Provider's Procedures

IPPOLITO MODICA (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYNY88304Pathology examination of tissue using a microscope, moderately low complexity10289
PATHOLOGYNY88342Tissue or cell analysis by immunologic technique4744

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: 7517042211View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YNY
Internal Medicine, GastroenterologyNY
Gastroenterology, Internal MedicineNY
G A S T R O E N T E R O L O G YNY
Nurse PractitionerNY
Nurse PractitionerNY
Gastroenterology, Internal MedicineNY
Nurse PractitionerNY
Nurse PractitionerNY
Gastroenterology, Internal MedicineNY

Reviews

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Frequently asked questions

Can I verify IPPOLITO MODICA (M.D.) with an NPI only?
You can start verification with NPI 1083897409 for IPPOLITO MODICA (M.D.), then check state licensing separately.
Is IPPOLITO MODICA (M.D.) listed as active for patients and plans?
The listing shows IPPOLITO MODICA (M.D.) as active in the NPI system.
What is IPPOLITO MODICA (M.D.) best known for clinically?
Directory data describes IPPOLITO MODICA (M.D.) with Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Where is IPPOLITO MODICA (M.D.) based?
IPPOLITO MODICA (M.D.) is tied to New York, New York in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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