Dr. Gary Roe Street , DC, PHC, LCP
Chiropractor • Olney, IL
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. Gary Street has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Gary Street, DC, PHC, LCP was a registered Chiropractor practicing in Olney, IL. Throughout an active medical career spanning 15 years, Dr. Street provided care at the practice location at 400 S WEST ST until profile deactivation on 2021-08-12.
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
400 S West St
Olney, IL 624501217
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Olney, IL
Practicing in Olney, IL (4730 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
98941
Chiropractic manipulative treatment, 3-4 spinal regions
|
51 | 41 | $38.00 | $37.23 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
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
Record deactivated on August 12, 2021
NPI status registered as active in NPPES database
Registered at 400 S WEST ST, OLNEY, IL 624501217 (Tel: 6183953162)
Registered at 400 SOUTH WEST STREET, OLNEY, IL 624501217 (Tel: 6183953162)
Recorded as GARY STREET, D.C., PH.C., L.C.P.,
Chiropractor (License #038-003230 in IL)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
400 South West Street
Olney, IL 624501217
Phone: 6183953162
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