Doctor profile · Federal record
Dr. Randolph Modlin, M.D.
Cardiovascular Disease Physician (CMS: Internal Medicine) · Cardiovascular Disease Physician · Cardiovascular Disease Physician · White Sulphur Springs, WV
- NPI 1942259114
- Accepts Medicare
- MIPS 89.4 / 100 · 2023
- 41 yrs in practice
- Licensed in 3 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
320 W Main St
White Sulphur Springs, WV 249862414
(304) 536-4870
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- November 28, 2016
- Year of graduation
- 1985 — 41 yrs since
- Specialty taxonomy
- 207RC0000X — NUCC code
- State licenses (3)
- West Virginia #25813 · Georgia #30837 · Virginia #0101255193
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1942259114. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,897
Distinct HCPCS
10
Medicare allowed
$240,340
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 502 | 294 | $13 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 392 | 246 | $119 | |
36415 |
Insertion of needle into vein for collection of blood sample | 302 | 179 | $8 | |
93306 |
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 284 | 279 | $171 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 235 | 179 | $83 | |
80053 |
Blood test, comprehensive group of blood chemicals | 196 | 148 | $10 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 181 | 137 | $8 | |
J2785 |
Injection, regadenoson, 0.1 mg | 176 | 44 | $56 | |
93880 |
Ultrasound of both sides of head and neck blood flow | 167 | 166 | $170 | |
A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose | 140 | 71 | $107 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 108. This provider delivers 36× the peer median.Open Payments
Industry payments received
All-time total
$192
Transactions
11
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Amgen Inc. | 4 | $62.34 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 2 | $42.91 | |
| Novo Nordisk Inc | 2 | $35.55 | |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | 2 | $30.02 | |
| Abbott Laboratories | 1 | $21.07 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,469
Patients
426
Total drug cost
$199,482
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Metoprolol Succinate | Generic | 199 | 60 | $3,112 |
| Atorvastatin Calcium | Generic | 176 | 58 | $1,818 |
| Losartan Potassium | Generic | 140 | 44 | $2,096 |
| Rosuvastatin Calcium | Generic | 124 | 36 | $2,648 |
| Amlodipine Besylate | Generic | 106 | 31 | $802 |
| Lisinopril | Generic | 101 | 28 | $781 |
| Omeprazole | Generic | 96 | 27 | $1,738 |
| Eliquis (Apixaban) | Brand | 89 | 24 | $114,851 |
| Hydrochlorothiazide | Generic | 83 | 25 | $719 |
| Simvastatin | Generic | 70 | 20 | $716 |
Frequently asked questions
What is Dr. Randolph Modlin's medical specialty?
Dr. Randolph Modlin practices Cardiovascular Disease Physician in White Sulphur Springs, WV.
Where does Dr. Randolph Modlin practice?
Dr. Randolph Modlin practices at 320 W Main St, White Sulphur Springs, WV 249862414. Office phone: 3045364870.
What is Dr. Randolph Modlin's NPI?
Dr. Randolph Modlin's National Provider Identifier (NPI) is 1942259114, issued by NPPES.
Does Dr. Randolph Modlin accept Medicare assignment?
Yes. Dr. Randolph Modlin accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Randolph Modlin commonly perform?
Top Medicare-reported procedures in 2023: Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS 93000); Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.