MR. RICHARD YOUNG MODENBACH LCSW
NPI 1053643429
Social Worker - Clinical in Tulsa, OK
About Mr. Richard Young Modenbach Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RICHARD YOUNG MODENBACH LCSW (NPI 1053643429) is an individual clinical provider in Tulsa, Oklahoma, licensed in Oklahoma (1891) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS and is a graduate of Other (1972).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Richard Young Modenbach Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Richard Modenbach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tulsa, OK 74136
- Reassigned Medicare billing, Oklahoma enrollment
- Medicare enrollment name: Tristesse Healing Hearts Grief
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TULSA, OK 74127
TULSA, OK 74127
TULSA, OK 74127
TULSA, OK 74127
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Richard Modenbach's NPI number?
The NPI number for Richard Modenbach is 1053643429. It was assigned to this individual provider in the NPPES registry on February 9, 2010.
Where is Richard Modenbach located?
Richard Modenbach practices at 744 W 9th St 8th Floor, Tulsa, OK 74127. The listed phone number is (918) 599-5730.
What is Richard Modenbach's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Richard Modenbach enrolled in Medicare?
Yes. Richard Modenbach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Richard Modenbach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Modenbach reassigns Medicare benefits to The Tristesse Grief Center Inc (Tulsa, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Modenbach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Modenbach accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health, Oscar Insurance Company and UnitedHealthcare list Richard Modenbach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Richard Modenbach was last updated on February 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Richard Young Modenbach, LCSW · NPI 1053643429
Clinical provider in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since February 9, 2010.
## Identity
- **NPI:** 1053643429 (Entity type: Individual)
- **Enumerated:** February 9, 2010
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 1891 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 744 W 9TH ST, 8TH FLOOR, Tulsa, OK 74127-9020
- **Phone:** (918) 599-5730 · **Fax:** (918) 599-5859
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Tristesse Grief Center Inc (NPI 1346754314, Tulsa, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1972
## Record status
- **NPPES last updated:** February 9, 2010
---
Source: [NPI Profile](https://npiprofile.com/npi/1053643429) · Data from the CMS NPPES public registry.