# James K. Modisette, MD

Source: https://ourhealthnetwork.com/doctor/james-modisette-md-1063413995
NPI: 1063413995
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

James K. Modisette, MD is a nephrology based in Thibodaux, LA practicing at Kidney Center Of South Louisiana, Amc with NPI 1063413995.

## Profile

- Primary specialty: Nephrology
- Credential: MD
- Gender: Male
- Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
- Graduation year: 1996
- NPI: 1063413995 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1063413995))

## Practice and contact

- Practice name: Kidney Center Of South Louisiana, Amc
- Address: 604 N Acadia Rd, Suite 405, Thibodaux, LA, 703014897
- Phone: (985) 446-0871
- Group practice size: 3 members

## CMS quality measures (MIPS)

- Overall MIPS final score: 80.51/100
- Quality category score: 69.81/100
- Promoting Interoperability score: 100.00/100
- Improvement Activities score: 40.00/100
- Cost category score: 41.4/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (10 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [Cigna](https://ourhealthnetwork.com/insurance/cigna) — 18 plans
- [UnitedHealthcare](https://ourhealthnetwork.com/insurance/unitedhealthcare) — 12 plans
- [Highmark BCBS Delaware](https://ourhealthnetwork.com/insurance/highmark-bcbs-delaware) — 11 plans
- [Highmark BCBS WV](https://ourhealthnetwork.com/insurance/highmark-bcbs-wv) — 6 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 4 plans
- [UMR](https://ourhealthnetwork.com/insurance/umr) — 3 plans
- [BCBS Louisiana](https://ourhealthnetwork.com/insurance/bcbs-louisiana) — 2 plans
- [Oxford Health Plans (UHC)](https://ourhealthnetwork.com/insurance/oxford-health-plans-uhc) — 2 plans
- [Highmark BCBS Pennsylvania](https://ourhealthnetwork.com/insurance/highmark-bcbs-pennsylvania) — 1 plan
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan

To verify a specific plan covers James K. Modisette, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1063413995).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 22 disclosed payments from medical industry sources totaling approximately $428.

Largest disclosed payer: Fresenius USA Marketing, Inc. ($194 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Nephrology doctors in THIBODAUX, LA](https://ourhealthnetwork.com/nephrology/la/thibodaux)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1063413995)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)