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Active NPI 1114237013 Individual Practitioner Male Practitioner

Dr. Michael John Modich , DC

Chiropractor • Side Lake, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Modich, DC is a certified Chiropractor practicing in Side Lake, MN. With approximately 17 years of clinical experience since graduating from Northwestern College Of Chiropractic in 2009, Dr. Modich delivers high-quality medical care to the local community at 7636 PINE TREE RD.

Dr. Modich is affiliated with Range Spine Center, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7636 Pine Tree Rd

Side Lake, MN 557818441

Telephone 2189694928
Associated Practice Facility / Clinic
🏢 Range Spine Center, Pllc Facility NPI 1720338676

Medicare Profile & Education

Medical School

Northwestern College Of Chiropractic

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Side Lake, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs Matches City Avg
City Avg: 17.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Side Lake, MN (3487 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
40.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Modich (17 Years) 17 Yrs
Side Lake Specialty Average (17.0 Years) 17.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
1,193 54 $65.00 $38.72

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MN 5322

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Hospital & Practice Group Affiliations

Range Spine Center, Pllc

4104 - 9th Ave W, Hibbing, MN 557463020

Phone: 2182638330

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 14, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 14, 2010

Registered at 7636 PINE TREE RD, SIDE LAKE, MN 557818441 (Tel: 2189694928)

📍
Updated Business Mailing Address October 14, 2010

Registered at 7636 PINE TREE RD, SIDE LAKE, MN 557818441 (Tel: 2189694928)

👤
Provider Name / Credentials Updated October 14, 2010

Recorded as MICHAEL MODICH, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2010

Chiropractor (License #5322 in MN)

🟢
Initial NPI Registration & Enumeration October 14, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114237013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2010
Last Update: October 14, 2010
Sole Proprietor: Yes

Mailing Address

7636 Pine Tree Rd

Side Lake, MN 557818441

Phone: 2189694928

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.