Doctor profile · Federal record
Dr. Paul Modlinger, M.D.
Nephrology Physician (CMS: Nephrology) · Fairfax, VA
- NPI 1053405688
- Accepts Medicare
- 29 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3930 Walnut Street, Suite 101
Fairfax, VA 220304738
(703) 246-9246
fax (703) 246-9257
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- February 26, 2013
- Year of graduation
- 1997 — 29 yrs since
- Specialty taxonomy
- 207RN0300X — NUCC code
- State license (1)
- Virginia #0101236049
- Medicaid (14)
- VA #010083770 · VA #010085811 · VA #010184983 · VA #010085918 · VA #010085683 · VA #010085837 · VA #010085691 · VA #010085829 · VA #010085934 · VA #010124743 · VA #010083753 · VA #010085845 · VA #010085721 · VA #010085870
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053405688. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,828
Distinct HCPCS
10
Medicare allowed
$225,082
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 681 | 316 | $86 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 598 | 318 | $110 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 127 | 115 | $139 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 90 | 90 | $183 | |
90960 |
Dialysis services, 4 or more physician visits per month (20 years or older) | 89 | 29 | $383 | |
90945 |
Dialysis procedure including 1 evaluation | 64 | 25 | $88 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 62 | 43 | $128 | |
90935 |
Hemodialysis procedure with physician evaluation | 48 | 35 | $77 | |
90961 |
Dialysis services, 2-3 physician visits per month (20 years or older) | 31 | 18 | $322 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 21 | 18 | $122 |
In context: peer comparison
Among 12 peers in Fairfax Nephrology Physician, average services per provider: 170. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$488
Transactions
23
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ani Pharmaceuticals, INC. | 15 | $262.53 | |
| Mallinckrodt Hospital Products INC. | 3 | $181.63 | |
| Akebia Therapeutics INC | 1 | $24.61 | |
| Travere Therapeutics, INC. | 4 | $18.74 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
647
Patients
207
Total drug cost
$74,316
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Torsemide | Generic | 94 | 37 | $3,328 |
| Furosemide | Generic | 81 | 32 | $724 |
| Calcitriol | Generic | 55 | 19 | $1,524 |
| Losartan Potassium | Generic | 54 | 19 | $774 |
| Allopurinol | Generic | 44 | 15 | $904 |
| Amlodipine Besylate | Generic | 44 | 18 | $315 |
| Nifedipine ER (Nifedipine) | Brand | 44 | 14 | $2,539 |
| Lisinopril | Generic | 39 | 0 | $211 |
| Farxiga (Dapagliflozin Propanediol) | Brand | 33 | 15 | $54,565 |
| Atorvastatin Calcium | Generic | 32 | 11 | $394 |
Hospital affiliations
Frequently asked questions
What is Dr. Paul Modlinger's medical specialty?
Dr. Paul Modlinger practices Nephrology Physician in Fairfax, VA.
Where does Dr. Paul Modlinger practice?
Dr. Paul Modlinger practices at 3930 Walnut Street, Fairfax, VA 220304738. Office phone: 7032469246.
What is Dr. Paul Modlinger's NPI?
Dr. Paul Modlinger's National Provider Identifier (NPI) is 1053405688, issued by NPPES.
Does Dr. Paul Modlinger accept Medicare assignment?
Yes. Dr. Paul Modlinger accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Paul Modlinger commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99214); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.