DR. MICHAEL JOHN MODICH D.C.
NPI 1114237013
Chiropractor in Side Lake, MN
About Dr. Michael John Modich D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL JOHN MODICH D.C. (NPI 1114237013) is an individual chiropractor in Side Lake, Minnesota, licensed in Minnesota (5322) and active in the NPI registry since October 2010. He is a graduate of Northwestern College Of Chiropractic (2009).
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
Dr. Michael John Modich D.c. 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 Michael Modich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hibbing, MN 55746
- Reassigned Medicare billing, Minnesota enrollment
- 2 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
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.
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 Michael Modich's NPI number?
The NPI number for Michael Modich is 1114237013. It was assigned to this individual provider in the NPPES registry on October 14, 2010.
Where is Michael Modich located?
Michael Modich practices at 7636 Pine Tree Rd, Side Lake, MN 55781. The listed phone number is (218) 969-4928.
What is Michael Modich's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Michael Modich enrolled in Medicare?
Yes. Michael Modich 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 Michael Modich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Modich reassigns Medicare benefits to Range Spine Center, PLLC (Hibbing, MN). 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 Michael Modich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Modich accept?
Health plans from HealthPartners list Michael Modich 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 Michael Modich was last updated on October 14, 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.
# Dr. Michael John Modich, D.C. · NPI 1114237013
Chiropractor provider in Side Lake, Minnesota. Individual provider, active in the CMS NPPES registry since October 14, 2010.
## Identity
- **NPI:** 1114237013 (Entity type: Individual)
- **Enumerated:** October 14, 2010
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 5322 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7636 PINE TREE RD, Side Lake, MN 55781-8441
- **Phone:** (218) 969-4928
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Range Spine Center, PLLC (NPI 1720338676, Hibbing, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northwestern College Of Chiropractic, class of 2009
## Record status
- **NPPES last updated:** October 14, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1114237013) · Data from the CMS NPPES public registry.