Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457448821 Individual Practitioner Male Practitioner

Dr. Michael Thomas Mungovan , DC

Chiropractor • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mungovan, DC is a registered healthcare professional specializing in Chiropractor in Fort Wayne, IN. Practice services are available at 4705 ILLINOIS RD STE 102 under active NPI credentials.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 1-2 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4705 Illinois Rd Ste 102

Fort Wayne, IN 468045108

Telephone 2604471067
Fax 2604470827
Associated Practice Facility / Clinic
🏢 Mungovan Chiropractic Pc Facility NPI 1154533354

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.6 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
85 Specialists

Practicing in Fort Wayne, IN (1470 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
0.4% 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
98940 Chiropractic manipulative treatment, 1-2 spinal regions
98 16 $26.72 $26.60

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IN 08001044

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 Medicare Ptan
226000A (IN)
Commercial Insurance / Payer ID Rr Medicare
P00311763 (IN)
Commercial Insurance / Payer ID Anthem Bcbs
000000343299 (KY)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 31, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 31, 2013

Registered at 4705 ILLINOIS RD STE 102, FORT WAYNE, IN 468045108 (Tel: 2604471067)

📍
Updated Business Mailing Address January 31, 2013

Registered at 4705 ILLINOIS RD, SUITE 102, FORT WAYNE, IN 468045114 (Tel: 2604471067)

👤
Provider Name / Credentials Updated January 31, 2013

Recorded as MICHAEL MUNGOVAN, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2013

Chiropractor (License #08001044 in IN)

🟢
Initial NPI Registration & Enumeration October 06, 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: 1457448821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: May 29, 2019
Sole Proprietor: No

Mailing Address

4705 Illinois Rd, Suite 102

Fort Wayne, IN 468045114

Phone: 2604471067

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.