Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568284958 Individual Practitioner Male Practitioner

Dr. Ethan Pottebaum , DC

Chiropractor • Clive, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Pottebaum, DC is a certified Chiropractor practicing in Clive, IA. With approximately 2 years of clinical experience since graduating from Palmer College Chiropractic - Davenport in 2024, Dr. Pottebaum delivers high-quality medical care to the local community at 15920 HICKMAN RD STE 900.

Dr. Pottebaum accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

15920 Hickman Rd Ste 900

Clive, IA 503258013

Telephone 5159879574
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Palmer College Chiropractic - Davenport

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Clive, IA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -15.6 yrs vs City Avg
City Avg: 17.6 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
33 Specialists

Practicing in Clive, IA (2109 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pottebaum (2 Years) 2 Yrs
Clive Specialty Average (17.6 Years) 17.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-10-29
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IA 128252

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1083003404

Doctor of Chiropractic

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 29, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2024

Registered at 15920 HICKMAN RD STE 900, CLIVE, IA 503258013 (Tel: 5159879574)

📍
Updated Business Mailing Address October 29, 2024

Registered at 15920 HICKMAN RD STE 900, CLIVE, IA 503258013

👤
Provider Name / Credentials Updated October 29, 2024

Recorded as ETHAN POTTEBAUM, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2024

Chiropractor (License #128252 in IA)

🟢
Initial NPI Registration & Enumeration October 28, 2024

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: 1568284958
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2024
Last Update: October 29, 2024
Sole Proprietor: No

Mailing Address

15920 Hickman Rd Ste 900

Clive, IA 503258013

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.