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Dr. Randy D. Modglin , DC

Chiropractor โ€ข Johnson City, TN

Active NPI 1932258191 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

306 Sunset Dr, Ste 100
Johnson City, TN 376042492

Call 4239268304 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

306 Sunset Dr
Ste 100

Johnson City, TN 376042492

Telephone 4239268304
Fax 4239265976
Organization at the Same NPPES Address or Phone
Appalachian Hearing And Speech Center, Llc Facility NPI 1659761062

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Spinal Corrective Ctr. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1996

Medicare patients

133 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $15,244 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $9,550 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

30 years (graduated 1996)

CMS Doctors and Clinicians data list 1996 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Modglin has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Johnson City and Tennessee

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 60% of clinicians listed under Chiropractor in Johnson City, TN (2024, 17 clinicians with data). Median for this group: 323. Middle half: 219 to 724.

Close to the middle for clinicians listed under Chiropractor in Tennessee (2024, 521 clinicians with data). Median for this group: 440. Middle half: 243 to 747.

Medicare-allowed amount

Close to the middle for clinicians listed under Chiropractor in Johnson City, TN (2024, 17 clinicians with data). Median for this group: $9,521. Middle half: $7,823 to $26,549.

Close to the middle for clinicians listed under Chiropractor in Tennessee (2024, 521 clinicians with data). Median for this group: $15,054. Middle half: $8,446 to $25,712.

Paid by Medicare

Close to the middle for clinicians listed under Chiropractor in Johnson City, TN (2024, 17 clinicians with data). Median for this group: $7,207. Middle half: $5,391 to $17,434.

Close to the middle for clinicians listed under Chiropractor in Tennessee (2024, 521 clinicians with data). Median for this group: $10,449. Middle half: $5,879 to $18,068.

36 active clinicians are listed under Chiropractor with a practice address in Johnson City, TN (1,529 in Tennessee).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Johnson City

0% of these 36 clinicians have the CMS telehealth indicator.

44.4% of these 36 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
379 111 $50.00 $25.41
98941 Chiropractic manipulative treatment, 3-4 spinal regions
152 78 $50.00 $36.93

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-08-24
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES TN DC0000001352

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.

Chiropractor - Nutrition

NUCC Taxonomy Code: 111NN1001X

License # reported to NPPES TN DC0000001352

Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient's prescription and over the counter medications are recorded and analyzed.

Chiropractor - Radiology

NUCC Taxonomy Code: 111NR0200X

License # reported to NPPES TN DC0000001352

Chiropractic radiology is a referral specialty that provides consultation services at the request of other qualified doctors. Chiropractic radiologists provide consultation in health care facilities (private offices, hospitals and teaching institutions) to meet the needs of referring doctors and their patients. The quality of the consultative services by the chiropractic radiologist in independent practice is reflected by the quality of their professional credentials. Chiropractic radiologists recommend, supervise, and interpret radiologic studies as well as advanced imaging procedures. They advise referring physicians on the necessity and appropriateness of radiologic services and whether to select or to avoid certain diagnostic or clinical procedures. In some instances the radiologist may act as a private practitioner. They may conduct research and apply diagnostic radiologic procedures and may be called upon to act as expert witnesses in matters of litigation.<br/>Chiropractic radiologists are also concerned with imaging technology including image production, demonstration of normal and abnormal anatomy, and the interaction of energy and matter. The advances in the technological facets of radiology are so rapid that only qualified radiologists can reasonably be expected to maintain the high level of proficiency required to supervise and interpret these procedures. The practice of radiology continuously involves the application of this technology to patient imaging and treatment. It is now well recognized that chiropractic radiology includes, but is not limited to, plain film radiography, fluoroscopy, tomography, ultrasonography, radioisotope imaging, computed tomography, digital radiography, and magnetic resonance imaging. Individual practices may vary by intent, licensure, and scope of practice laws.

Chiropractor

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES TN 1352

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.

Chiropractor - Rehabilitation

NUCC Taxonomy Code: 111NR0400X

License # reported to NPPES TN DC0000001352

Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.

Chiropractor - Neurology

NUCC Taxonomy Code: 111NN0400X

License # reported to NPPES TN DC0000001352

Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions.

Chiropractor - Orthopedic

NUCC Taxonomy Code: 111NX0800X

License # reported to NPPES TN DC0000001352

Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty.

Chiropractor - Sports Physician

NUCC Taxonomy Code: 111NS0005X

License # reported to NPPES TN DC0000001352T

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Tennessee Department of Health License Verification.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Blue Cross Blue Shield
3074458 (TN)
Other Identifier Railroad Medicare
350052904

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20080723000858

Enrollment State Jurisdiction

TN

PECOS Control ID

1153494109

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Spinal Corrective Ctr

306 Sunset Dr, Johnson City, TN 376042492

Phone: 4239268304

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1598819021

Doctor of Chiropractic

NPI 1760224737

Doctor of Chiropractic

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location August 24, 2020

Registered at 306 SUNSET DR, STE 100, JOHNSON CITY, TN 376042492 (Tel: 4239268304)

๐Ÿ“
Updated Business Mailing Address May 24, 2020

Registered at 306 SUNSET DR STE 100, JOHNSON CITY, TN 376042492 (Tel: 4239268304)

โœ…
NPI Profile Active January 17, 2008

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 17, 2008

Registered at 266 NORTH ST, NEWPORT, TN 378212419 (Tel: 4236237021)

๐Ÿ“
Business Mailing Address (Initial Record) January 17, 2008

Registered at 266 NORTH ST, NEWPORT, TN 378212419 (Tel: 4236237021)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 17, 2008

Recorded as RANDY MODGLIN, D.C.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2008

Chiropractor (license number reported to NPPES: TN DC0000001352)

๐ŸŸข
Initial NPI Registration & Enumeration January 09, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1932258191
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2007
Last Update: August 24, 2020
Sole Proprietor: Yes

Other Chiropractors in Johnson City

All Chiropractors in Johnson City

Mailing Address

306 Sunset Dr Ste 100

Johnson City, TN 376042492

Phone: 4239268304

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.