Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124298211 Individual Practitioner Female Practitioner

Dr. Petula Monique Gillingham , DC

Chiropractor • Mesa, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Petula Gillingham, DC is a certified Chiropractor practicing in Mesa, AZ. With approximately 26 years of clinical experience since graduating from Lincoln Chiropractic College in 2000, Dr. Gillingham delivers high-quality medical care to the local community at 3130 E BASELINE RD STE 107.

Dr. Gillingham is affiliated with Afc Physical Medicine Of Mesa, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 5 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3130 E Baseline Rd Ste 107

Mesa, AZ 852047290

Telephone 4803451980
Fax 4809261721
Associated Practice Facility / Clinic
🏢 Morris Chiropractic Inc Facility NPI 1306804539

Medicare Profile & Education

Medical School

Lincoln Chiropractic College

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Mesa, AZ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +1.9 yrs vs City Avg
City Avg: 24.1 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
193 Specialists

Practicing in Mesa, AZ (2102 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gillingham (26 Years) 26 Yrs
Mesa Specialty Average (24.1 Years) 24.1 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
302 48 $60.00 $38.10
98942 Chiropractic manipulative treatment, 5 spinal regions
33 21 $60.00 $49.04

Medical Specialties & State Licenses

CMS Verified: 2023-02-28
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License AZ 6097

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Ptan
P01122517 (AZ)

Hospital & Practice Group Affiliations

Afc Physical Medicine Of Mesa, Pllc

3130 E Baseline Rd, Mesa, AZ 852047290

Phone: 4803451980

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Linzie Gaddie , PA-C

Physician Assistant - Medical

NPI 1609246024

Physician Assistant (Certified)

NPI 1689752115

Doctor of Chiropractic

Heather Trujillo-Olkkonen , PA

Physician Assistant - Medical

NPI 1700864071

Physician Assistant

NPI 1730221144

Doctor of Chiropractic

Kelly Hogan , PA-C

Physician Assistant - Medical

NPI 1861123564

Physician Assistant (Certified)

Juan Felix , PA

Physician Assistant - Medical

NPI 1871932715

Physician Assistant

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address October 04, 2018

Registered at 1839 S ALMA SCHOOL RD STE 354, MESA, AZ 852103028 (Tel: 4807262287)

👤
Provider Name / Credentials Updated October 04, 2018

Recorded as PETULA GILLINGHAM, D.C.

NPI Profile Active July 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2013

Registered at 3130 E BASELINE RD STE 107, MESA, AZ 852047290 (Tel: 4803451980)

📍
Updated Business Mailing Address July 11, 2013

Registered at 1839 S ALMA SCHOOL RD, STE 354, MESA, AZ 852103023 (Tel: 4807262287)

👤
Provider Name / Credentials Updated July 11, 2013

Recorded as PETULA GILLINGHAM, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2013

Chiropractor (License #6097 in AZ)

🟢
Initial NPI Registration & Enumeration March 05, 2008

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: 1124298211
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2008
Last Update: February 28, 2023
Sole Proprietor: Yes

Mailing Address

1839 S Alma School Rd Ste 354

Mesa, AZ 852103028

Phone: 4807262287

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.