Skip to content

Jillian Marie Modoono, PA

NPI 1578030326ActiveIndividual· Physician Assistant· Lebanon, NH

Physician Assistant (PA) with Vantage Healthcare LLC and 2 other groups, practicing in Lebanon, New Hampshire. 362 Medicare patients in 2024, $29,261 paid; nearly all of their 388 Part D prescriptions were generic (96%). Lists Elliot Hospital and 1 other hospital as hospital affiliations.

Overview

NPI1578030326
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedOct 30, 2018
Last updated in NPPESMar 20, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X1453NH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NH)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients362
Services billed383 across 23 procedure codes
Paid by Medicare$29,261

Part D prescriptions in 2024

Prescriptions (claims)388 · 393 30-day fills
Patients299
Total drug cost$4,810
Generic share96% of claims

Medicare sources and data years

Education and affiliations

Graduation year2018
Medicare specialtyPhysician Assistant

Medical groups

Hospital affiliations

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Lebanon

All Physician Assistant providers in New Hampshire →