What is James Modir's specialty?

James Modir (NPI 1902961535) is a Medicare-billing provider whose primary specialty is Pain Management in San Diego, CA.

Where does James Modir practice?

James Modir practices in San Diego, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1902961535.

How much does Medicare pay James Modir?

James Modir (NPI 1902961535) received approximately $413K in total Medicare Part B payments, serving 770 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1902961535

James ModirM.D.

PRACTICESCRIPPS HEALTHSee all providers at this practice →

Pain ManagementSan Diego, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

4,294

Unique beneficiaries

—

Total services

21,916

Distinct HCPCS

Medicare payment

$404K

Peer benchmark

Total Medicare services vs. 293 Pain Management providers in CA — top quintile (cohort median 1,687).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$121

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Gabapentin13 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$4K

Payment records

By payment type

Food and Beverage$3K

Travel and Lodging$996

Top paying entities

Food and Beverage$3K

Travel and Lodging$996

REFERRAL NETWORK

Where James Modir's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 8 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
April Bernal Nurse Practitioner · San Diego, CA	86	132
Scripps Health Ambulatory Surgical Center · San Diego, CA	57	110
Scripps Health Clinical Laboratory · La Jolla, CA	35	80
Richard Abello Diagnostic Radiology · La Jolla, CA	16	26
Christopher Uchiyama Neurosurgery · La Jolla, CA	15	27
Timothy Feng Diagnostic Radiology · La Jolla, CA	13	16
SOBEL, DAVID	12	21
WALKER, RICHARD	12	51

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events