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Active NPI 1063615243 Individual Practitioner Male Practitioner

Roger D. Wallis , PC

Chiropractor • Fort Lupton, CO

Professional Overview & Biography Verified Profile Summary

Roger Wallis, PC is a registered healthcare professional specializing in Chiropractor in Fort Lupton, CO. Practice services are available at 419 DENVER AVE under active NPI credentials.

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

419 Denver Ave

Fort Lupton, CO 806211823

Telephone 3038576344
Associated Practice Facility / Clinic
🏢 Roger D Wallis Dcpc Facility NPI 1083894489

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Fort Lupton, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Fort Lupton, CO (2434 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
30.0% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
38 14 $55.00 $38.50

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CO 1509

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

6 Historical Events
NPI Profile Active December 07, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2007

Registered at 419 DENVER AVE, FORT LUPTON, CO 806211823 (Tel: 3038576344)

📍
Updated Business Mailing Address December 07, 2007

Registered at 419 DENVER AVE, FORT LUPTON, CO 806211823 (Tel: 3038576344)

👤
Provider Name / Credentials Updated December 07, 2007

Recorded as ROGER WALLIS, P.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2007

Chiropractor (License #1509 in CO)

🟢
Initial NPI Registration & Enumeration June 06, 2007

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: 1063615243
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2007
Last Update: December 07, 2007
Sole Proprietor: Yes

Mailing Address

419 Denver Ave

Fort Lupton, CO 806211823

Phone: 3038576344

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.