DR. MAYA MODZELEWSKA (M.D.) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1790074490
Pain Medicine (Physical Medicine & Rehabilitation) Physician
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Profile Insights
NPPES metrics only — not quality of care.
125 PHYSICAL MEDICINE AND REHABILITATION in OR
Provider Addresses for DR. MAYA MODZELEWSKA (M.D.)
1100 22ND ST SE
SALEM, OR 973026558
Phone: (503) 971-6771
Fax: (503) 385-8421
Type: Mailing
970 N Kalaheo Ave Ste A109
Kailua, HI 967341868
Phone: (808) 501-2235
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $599.
Total Amount is formed as General ($599) + Research ($0) + Ownership ($0) = $599.
Last reported payment date: 2024-03-28 • Largest payer in this snapshot: ABBVIE INC. ($250).
Total Amount
$599
General + Research + Ownership
Payments
19
Total payment records
General Amount
$599
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $250 |
| PFIZER INC. | $81 |
| Abbott Laboratories | $66 |
| Pacira Pharmaceuticals Incorporated | $64 |
| Lilly USA, LLC | $54 |
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: 2023-09-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170220001344 | I | Physical Medicine And Rehabilitation | OR | TBD |
| I20230921002344 | I | Physical Medicine And Rehabilitation | HI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 8,101 | 105 | $0 |
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | 2,860 | 61 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,201 | 68 | $0 |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha | 127 | 101 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 86 | 43 | $0 |
Insurance plans in this area (ZIP 97302)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation, Pain Management | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR |
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