LUCIA MODESTI M.D.
NPI 1720222466
Emergency Medicine in San Diego, CA
NPI Status: Active since April 24, 2009
- Individual
- Female
- Emergency Medicine
- PECOS Enrolled
About LUCIA MODESTI
This page provides the complete NPI Profile along with additional information for Lucia Modesti, a provider established in San Diego, California with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1720222466 assigned on April 2009. The practitioner's primary taxonomy code is 207P00000X with license number 256333 (MA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1720222466
- Provider Name
- LUCIA MODESTI M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 200 W ARBOR DR SAN DIEGO, CA 92103
- Location Phone
- (619) 543-6222
- Mailing Address
- 7224 SHORELINE DR UNIT 178 SAN DIEGO, CA 92122
- Mailing Phone
- (619) 618-5277
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-24-2009
- Last Update Date
- 12-05-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 256333
- License State
- MA
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Medicare Participation & PECOS Enrollment Status
Lucia Modesti is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, each additional 30 minutes
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
This service was performed 31 times for 30 patientsCritical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 38 times for 37 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 162 times for 155 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 109 times for 107 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 92103 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.87
- Minimum New Patient Price $62.1
- Maximum New Patient Price $184.71
- Average New Patient Copayment $23.71
- Minimum New Patient Copayment $15.52
- Maximum New Patient Copayment $46.17
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $108.42
- Minimum Established Patient Price $20.62
- Maximum Established Patient Price $151.42
- Average Established Patient Copayment $27.1
- Minimum Established Patient Copayment $5.15
- Maximum Established Patient Copayment $37.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 2 | 2 | 2 | 4 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 4 | 2 | 4 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 4 + 2 + 4 + 4 + 1 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1720222466 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1043215502 | DR. ALFREDO B. TIU D.O. Individual | Internal Medicine (Nephrology) | 200 W ARBOR DR OWEN CLINIC SAN DIEGO, CA 92103 (619) 543-2415 |
| 1881691772 | DR. SIDNEY MERRITT MD Individual | Anesthesiology | 200 W ARBOR DR SAN DIEGO, CA 92103 (619) 543-5720 |
| 1689669863 | DR. NAVPARKASH SANDHU M.D. Individual | Anesthesiology | 200 W ARBOR DR UCSD MED CENTER SAN DIEGO, CA 92103 (619) 543-5742 |
| 1295721884 | JOHN T BESTOSO M.D. Individual | Internal Medicine (Nephrology) | 200 W ARBOR DR UCSD MEDICAL CENTER, SUITE 8781 SAN DIEGO, CA 92103 (619) 543-7310 |
| 1255301370 | DR. MICHAEL WARREN NIELSEN MD Individual | Emergency Medicine | 200 W ARBOR DR SAN DIEGO, CA 92103 (619) 543-6236 |
| 1356319891 | PAUL JOSEPH GIRARD M.D. Individual | Orthopaedic Surgery | 200 W ARBOR DR ORTHOPAEDIC SURGERY CLINIC, MAIL CODE 8670 SAN DIEGO, CA 92103 (619) 543-6312 |
| 1710944426 | DR. ROSALIND B DIETRICH MD Individual | Radiology (Diagnostic Radiology) | 200 W ARBOR DR MC 8756 SAN DIEGO, CA 92103 (619) 543-6766 |
| 1922065606 | DR. DAVID BUTLER HOYT M.D. Individual | Surgery | 200 W ARBOR DR SAN DIEGO, CA 92103 (619) 543-7200 |
| 1679530844 | DR. SANFORD J SHATTIL M.D. Individual | Internal Medicine | 200 W ARBOR DR UCSD MEDICAL CENTER SAN DIEGO, CA 92103 (888) 309-8273 |
| 1750349866 | DR. SVETLANA KATSEV M.D. Individual | Internal Medicine (Cardiovascular Disease) | 200 W ARBOR DR SAN DIEGO, CA 92103 (619) 543-7230 |
| 1154389328 | MS. CHRISTINE ELIZABETH ROBINSON APRN, BC Individual | Nurse Practitioner (Primary Care) | 200 W ARBOR DR SAN DIEGO, CA 92103 (619) 294-3777 |
| 1831157122 | DR. ASHOK R PARAMESWARAN MD Individual | Psychiatry & Neurology (Psychiatry) | 200 W ARBOR DR SAN DIEGO, CA 92103 (619) 543-3995 |
| 1841258050 | ROBERT TERKELTAUB M.D. Individual | Internal Medicine | 200 W ARBOR DR SAN DIEGO, CA 92103 (858) 657-6110 |
| 1477501450 | DR. KARL YODER HOSTETLER M.D. Individual | Internal Medicine | 200 W ARBOR DR UCSD MEDICAL CENTER SAN DIEGO, CA 92103 (858) 657-8440 |
| 1073561072 | JARDENA GARNER PA Individual | Physician Assistant | 200 W ARBOR DR UCSD MEDICAL CENTER - DEPARTMENT OF ORTHOPEDICS SAN DIEGO, CA 92103 (619) 543-2539 |
| 1144278805 | DR. NIKHIL KANSAL M.D. Individual | Surgery | 200 W ARBOR DR MC 8201 SAN DIEGO, CA 92103 (619) 543-1899 |
| 1366491474 | DR. HOWARD L TARAS MD Individual | Pediatrics | 200 W ARBOR DR UCSD MEDICAL CENTER MC-8201 SAN DIEGO, CA 92103 (858) 657-8333 |
| 1982654927 | DR. TONY T YANG M.D., PH.D. Individual | Psychiatry & Neurology (Psychiatry) | 200 W ARBOR DR UCSD MEDICAL CENTER SAN DIEGO, CA 92103 (858) 966-5832 |
| 1861443681 | MS. CAROL A MATTHEWS FNP Individual | Nurse Practitioner (Family) | 200 W ARBOR DR MC 8201 SAN DIEGO, CA 92103 (858) 822-4332 |
| 1396796124 | HEATHER MARY PATTON M.D. Individual | Internal Medicine | 200 W ARBOR DR MC 8413 SAN DIEGO, CA 92103 (619) 543-7544 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720222466, enumerated in the NPI registry as an "individual" on April 24, 2009
The provider is located at 200 W Arbor Dr San Diego, Ca 92103 and the phone number is (619) 543-6222
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $94.87 with an average copayment of $23.71 for new patient appointments. Established patients should expect a typical charge of $108.42 and an average copayment of 27.1. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, each additional 30 minutes, Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity and Emergency department visit for problem of high severity.
This NPI record was last updated on April 24, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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