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Deactivated NPI 1710984174 Deactivated / Inactive NPI Male Practitioner

Dr. Richard Gary Fried , DC

Chiropractor • Moline, IL

✓ Accepts Medicare Assignment
⚠️

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. Richard Fried has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 30, 2005
NPI Deactivation Date March 17, 2006
Total Practice Duration ~21 Years of Practice (1985 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Fried, DC was a registered Chiropractor in Moline, IL. Prior to record deactivation on 2006-03-17, Dr. Fried completed approximately 21 years of clinical practice following graduation from Palmer College Chiropractic - West Sunnyvale in 1985.

Dr. Fried accepted Medicare assignment.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1715 5th Ave

Moline, IL 612657911

Telephone 3097621050
Fax 3097621064
Associated Practice Facility / Clinic
🏢 Tiffany Zimmerman Dc Pc Facility NPI 1306085428

Medicare Profile & Education

Medical School

Palmer College Chiropractic - West Sunnyvale

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Moline, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
41 Yrs +14.7 yrs vs City Avg
City Avg: 26.3 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
69 Specialists

Practicing in Moline, IL (4730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
25.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fried (41 Years) 41 Yrs
Moline Specialty Average (26.3 Years) 26.3 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
355 32 $50.00 $37.43

Medical Specialties & State Licenses

CMS Verified: 2023-10-23
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IL 038005386

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

Medicaid State Provider ID
038005386 (IL)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1225039324

Doctor of Chiropractic

NPI 1861522195

Doctor of Chiropractic

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2023

Chiropractor (License #038005386 in IL)

📍
Updated Practice Location July 08, 2007

Registered at 1715 5TH AVE, MOLINE, IL 612657911 (Tel: 3097621050)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1715 5TH AVE, MOLINE, IL 612657911 (Tel: 3097621050)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RICHARD FRIED, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor

🔄
NPI Profile Reactivated March 24, 2006

Record officially reactivated for active practice on March 24, 2006

⚠️
NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

🟢
Initial NPI Registration & Enumeration June 30, 2005

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: 1710984174
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2005
Last Update: October 23, 2023
Deactivation Date: March 17, 2006
Sole Proprietor: Yes

Mailing Address

1715 5th Ave

Moline, IL 612657911

Phone: 3097621050

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.