Paul Steven Modlinger, M.D.
NPI 1053405688ActiveIndividual· Internal Medicine, Nephrology· Fairfax, VA
Internal Medicine, Nephrology (M.D.) in Fairfax, Virginia, trained at New York University School of Medicine (class of 1997). Their prescriptions cost Medicare Part D more than their services did: $411,689 for 1,615 claims, against $231,030 paid for services in 2024. Mallinckrodt Hospital Products Inc. was the largest of 10 companies reporting payments in 2025, $959.96 in all, mostly food and beverage.
Overview
| NPI | 1053405688 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 3, 2006 |
| Last updated in NPPES | Feb 26, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 0101236049 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nephrology (DC); Practitioner - Nephrology (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 793 |
|---|---|
| Services billed | 2,829 across 21 procedure codes |
| Paid by Medicare | $231,030 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,615 · 4,116 30-day fills |
|---|---|
| Patients | 252 |
| Total drug cost | $411,689 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | New York University School of Medicine |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Nephrology |
| Telehealth | Offers telehealth |
Medical group
- Virginia Nephrology Group LLPArlington, VA · 16 clinicians
Hospital affiliations
- Inova Alexandria HospitalAlexandria, VA
- Inova Fair Oaks HospitalFairfax, VA
- Inova Fairfax HospitalFalls Church, VA
- Virginia Hospital CenterArlington, VA
Other facilities
- Davita Fairfax Dialysis CenterDialysis facility · Fairfax, VA
- Davita Tyson's Corner DialysisDialysis facility · Vienna, VA
- Fairfax Dialysis CenterDialysis facility · Fairfax, VA
- Usrc Arlington CountyDialysis facility · Arlington, VA
Industry payments (Open Payments)
- 2025$959.96 · 23 payments from 10 companies
- 2024$487.51 · 23 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mallinckrodt Hospital Products Inc. | $268.37 | 5 |
| Recor Medical Inc | $178.90 | 3 |
| Otsuka America Pharmaceutical, Inc. | $118.98 | 1 |
| Ardelyx, Inc. | $103.13 | 1 |
| Ani Pharmaceuticals, Inc. | $94.44 | 3 |
What the 2025 payments were for
- Food and Beverage$859.97 · 22 payments
- Education$99.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 40 nephrologists in Fairfax · All nephrologists in Virginia