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Deactivated NPI 1205892007 Deactivated / Inactive NPI Male Practitioner

Dr. Leo Gene Rayburn , DC

Chiropractor • Camp Verde, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Leo Rayburn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 21, 2006
NPI Deactivation Date May 01, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Leo Rayburn, DC was a registered Chiropractor practicing in Camp Verde, AZ. Throughout an active medical career spanning 19 years, Dr. Rayburn provided care at the practice location at 452 W FINNIE FLAT RD until profile deactivation on 2025-05-01.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

452 W Finnie Flat Rd
Suite A1

Camp Verde, AZ 863227298

Telephone 9285671757
Fax 9285671722
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Camp Verde, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Camp Verde, AZ (2102 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
5.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
247 24 $28.36 $26.69

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License AZ 2005

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 01, 2025

Record deactivated on May 01, 2025

NPI Profile Active June 20, 2012

NPI status registered as active in NPPES database

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Updated Practice Location June 20, 2012

Registered at 452 W FINNIE FLAT RD, SUITE A1, CAMP VERDE, AZ 863227298 (Tel: 9285671757)

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Updated Business Mailing Address June 20, 2012

Registered at PO BOX 1680, CAMP VERDE, AZ 86322 (Tel: 9285671757)

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Provider Name / Credentials Updated June 20, 2012

Recorded as LEO RAYBURN, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2012

Chiropractor (License #2005 in AZ)

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Initial NPI Registration & Enumeration April 21, 2006

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: 1205892007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2006
Last Update: June 20, 2012
Deactivation Date: May 01, 2025

Mailing Address

Po Box 1680

Camp Verde, AZ 86322

Phone: 9285671757

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.