Dr. Frank Edward Modic, MD

  • Santa Rosa, CA
  • Diagnostic radiologist
NPI1871683326PAC ID9830105345
Medicare services, 2024
3,416
Medicare patients, 2024
2,841
Hospital affiliations
3
Industry payments
$204
Medical groups
2
Practice address
1165 Montgomery Dr, Santa Rosa, CA 95405
Practice phone
Call (707) 525-5300
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Providence Santa Rosa Memorial Hospital

Hospital · Santa Rosa, California

See all 7 affiliations

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Dr. Frank Edward Modic is a diagnostic radiologist in Santa Rosa, California

Dr. Modic practices at Providence Santa Rosa Memorial Hospital in Santa Rosa, California, part of Providence Health & Services.

Dr. Modic's NPI, 1871683326, was assigned on October 13, 2006. Dr. Modic graduated from Vagelos College of Physicians and Surgeons in 1984. Dr. Modic holds California license G56491.

NPI and contact details
Medicare PAC ID
9830105345
NPI enumeration date
October 13, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(707) 525-5300
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
68
Medical school graduation
1984

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Frank Edward Modic practices at Providence Santa Rosa Memorial Hospital in Santa Rosa, California

Dr. Modic's primary practice is Providence Santa Rosa Memorial Hospital, at 1165 Montgomery Dr, Santa Rosa, CA 95405 in Sonoma County. The practice phone is (707) 525-5300.

Source: Dmand AI Affiliation Data

Dr. Frank Edward Modic is affiliated with 5 sites of care and 2 medical groups

Dr. Modic's primary practice is Providence Santa Rosa Memorial Hospital in Santa Rosa, California, part of Providence Health & Services. Dr. Modic is also affiliated with Petaluma Valley Hospital. The medical group on file is Radia. Dmand AI also links Dr. Modic to 1 more hospital, 2 group practices and clinics and 1 medical group, each named with a free account.

See all 7 affiliations for Dr. Modic

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Frank Edward Modic's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Modic practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Providence Santa Rosa Memorial HospitalAvailable with a free account
+4 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Frank Edward Modic is one of 4,096 diagnostic radiologists in California

Diagnostic radiology is Dr. Modic's primary specialty in the NPI Registry, under taxonomy code 2085R0202X. Dr. Modic is board certified in diagnostic radiology by the American Board of Radiology. Dr. Modic is licensed in California.

Specialties and state licenses

  • Diagnostic radiology, CaliforniaPrimaryLicense G56491 · 1985 to 2027 · taxonomy 2085R0202X

Diagnostic radiologists near Dr. Modic

Counts of diagnostic radiologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Frank Edward Modic billed Medicare for 3,416 services in 2024

CMS data shows 3,416 Medicare services from Dr. Modic across 47 procedure codes in 2024, for 2,841 Medicare patients. Medicare paid $115,699 for them.

Medicare services, 20243,416
Medicare patients2,841
Paid by Medicare$115,699
Procedure codes47

Dr. Modic's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Imaging
2023: 3,1502024: 3,2383%
Tests and treatments
2023: 1082024: 12314%
Surgery
2023: 382024: 5545%

Where Dr. Modic's Medicare services took place, 2024

  • In an office1,11633%
  • In a facility2,30067%

Dr. Modic compared with the California median for diagnostic radiologists, 2024

  • Dr. Modic
  • California median
Medicare services
3,416vs 2,28150% above
Medicare patients
2,841vs 1,3462.1 times

Medians across 3,734 diagnostic radiologists in California with Dmand AI profiles that report each measure.

Dr. Modic's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Frank Edward Modic treated 2,841 Medicare patients in 2024, average age 76

CMS counts 2,841 Medicare patients who saw Dr. Modic in 2024. The largest group is 65 to 74, with 1,097 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 30% are also on Medicaid. Their average risk score is 1.69, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Modic's median patient age at 72, with 57% women.

Medicare patients, 20242,841
Average age76
Average risk score1.69
Also on Medicaid30%

Dr. Modic's Medicare patients by age, 2024

Dr. Modic's Medicare patients by sex, 2024

  • Women1,50853%
  • Men1,33347%

Chronic conditions among Dr. Modic's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis51%
  4. Ischemic heart disease35%
  5. Mood disorders32%
  6. Anxiety30%
  7. Chronic kidney disease29%
  8. Atrial fibrillation28%

Share of Medicare patients with each condition. A patient can have several.

Dr. Modic's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 72

Patient panel by sex, all payers

  • Women57%
  • Men42%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

How Dr. Frank Edward Modic takes part in Medicare

Dr. Modic accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Dr. Frank Edward Modic received $204 in industry payments from 2018 to 2023

CMS Open Payments shows 4 general payments to Dr. Modic from 4 drug and device companies from 2018 to 2023. Food and beverage make up the largest share, 100% of the total. Progenics Pharmaceuticals, Inc. paid the most, $150.

General payments to Dr. Modic by program year, 2018 to 2023

Companies that paid Dr. Modic the most, 2018 to 2023

Share is of all general payments to this clinician.

See all payments to Dr. Modic

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Frank Edward Modic graduated from Vagelos College of Physicians and Surgeons

Dr. Modic graduated from Vagelos College of Physicians and Surgeons in 1984.

  1. Medical schoolVagelos College of Physicians and Surgeons
  2. Board certified in diagnostic radiologyAmerican Board of Radiology

Source: Dmand AI Professional Profile Data

Dr. Frank Edward Modic accepts plans from 2 insurance carriers

Dr. Modic is in network with 2 carriers, including Excellus BlueCross BlueShield and CMS Medicare. Medicare plans come from the most carriers, 2. Check the plan with the practice before a visit.

  • Excellus BlueCross BlueShield
  • CMS Medicare

Plan types Dr. Modic accepts, by number of carriers

  1. Medicare2
  2. EPO1
  3. PPO1

Source: Dmand AI Insurance Network Data

Sources for Dr. Frank Edward Modic's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Frank Edward Modic

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Frank Edward Modic's NPI number?

Dr. Frank Edward Modic's NPI number is 1871683326. It was assigned on October 13, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Frank Edward Modic?

Dr. Frank Edward Modic is a diagnostic radiologist in Santa Rosa, California. The primary specialty in the NPI Registry is Diagnostic Radiology Physician (taxonomy code 2085R0202X).

Where does Dr. Frank Edward Modic practice?

Dr. Modic practices at 1165 Montgomery Dr, Santa Rosa, CA 95405. Dr. Modic's primary practice is Providence Santa Rosa Memorial Hospital in Santa Rosa, California, part of Providence Health & Services. Dmand AI also links Dr. Modic to 1 hospital, 2 group practices and clinics and 1 medical group.

What is Dr. Frank Edward Modic's office phone number?

The practice phone on file for Dr. Modic is (707) 525-5300.

What is Dr. Frank Edward Modic's medical license number?

Dr. Modic holds California license G56491.

Which hospitals is Dr. Frank Edward Modic affiliated with?

Dr. Modic practices at Providence Santa Rosa Memorial Hospital in Santa Rosa, California. Dr. Modic is also affiliated with Petaluma Valley Hospital. Dmand AI links Dr. Modic to 1 more hospital.

What medical group is Dr. Frank Edward Modic part of?

Dr. Modic is linked to Radia. Dmand AI links Dr. Modic to 1 more medical group.

Does Dr. Frank Edward Modic accept Medicare?

Yes. CMS data shows Dr. Modic billed Medicare for 3,416 services in 2024, and Dr. Modic accepts Medicare assignment.

How many Medicare patients does Dr. Frank Edward Modic see?

CMS counts 2,841 Medicare patients who saw Dr. Modic in 2024, with an average age of 76.

Is Dr. Frank Edward Modic board certified?

Yes. Dr. Modic is board certified in diagnostic radiology by the American Board of Radiology.

Show 5 more questionsShow fewer questions

What services does Dr. Frank Edward Modic bill to Medicare?

In 2024, Dr. Modic's most billed Medicare services were diagnostic imaging (71045), diagnostic imaging (74177) and nuclear medicine (78815).

Where did Dr. Frank Edward Modic go to medical school?

Dr. Modic graduated from Vagelos College of Physicians and Surgeons in 1984.

Has Dr. Frank Edward Modic received payments from drug or device companies?

CMS Open Payments shows $204 in general payments to Dr. Modic from 4 companies from 2018 to 2023. The largest total came from Progenics Pharmaceuticals, Inc.

How long has Dr. Frank Edward Modic been practicing?

Dr. Modic graduated from medical school in 1984, 42 years ago.

What insurance does Dr. Frank Edward Modic accept?

Dr. Modic is in network with 2 carriers, including Excellus BlueCross BlueShield and CMS Medicare. Medicare plans come from the most carriers, 2. Check the plan with the practice before a visit.

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