Susan C. Modesitt, M.D.
NPI 1427070598ActiveIndividual· Obstetrics & Gynecology, Gynecologic Oncology· Charlottesville, VA
Obstetrics & Gynecology, Gynecologic Oncology (M.D.) in Charlottesville, Virginia, trained at University of Virginia School of Medicine (class of 1995). Their prescriptions cost Medicare Part D more than their services did: $606,987 for 383 claims, against $56,664 paid for services in 2024. Merck Sharp & Dohme LLC reported $25.70 in payments in 2025, mostly education.
Overview
| NPI | 1427070598 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 24, 2006 |
| Last updated in NPPES | Mar 28, 2022 |
| Certified by provider | Mar 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology, Gynecologic Oncology Primary | 207VX0201X | 91037 | GA |
| Obstetrics & Gynecology, Gynecologic Oncology | 207VX0201X | 0101240037 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Gynecological Oncology (GA); Practitioner - Gynecological Oncology (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 98 |
|---|---|
| Services billed | 432 across 36 procedure codes |
| Paid by Medicare | $56,664 |
Part D prescriptions in 2024
| Prescriptions (claims) | 383 · 428 30-day fills |
|---|---|
| Patients | 70 |
| Total drug cost | $606,987 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | University of Virginia School of Medicine |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Gynecological Oncology |
| Telehealth | Offers telehealth |
Medical group
- The Emory Clinic IncAtlanta, GA · 3,568 clinicians
Hospital affiliations
- Emory Decatur HospitalDecatur, GA
- Emory University HospitalAtlanta, GA
- Emory University Hospital MidtownAtlanta, GA
- Saint Joseph's Hospital of Atlanta, IncAtlanta, GA
Industry payments (Open Payments)
- 2025$25.70 · 1 payment from 1 company
- 2024$3,260 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $25.70 | 1 |
What the 2025 payments were for
- Education$25.70 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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