Dr. Mark David Frideres , DC
Chiropractor • Nevada, IA
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. Mark Frideres has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mark Frideres, DC was a registered Chiropractor in Nevada, IA. Prior to record deactivation on 2006-03-18, Dr. Frideres completed approximately 6 years of clinical practice following graduation from Palmer College Chiropractic - Davenport in 2000.
Dr. Frideres 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
1229 S G Ave
Nevada, IA 502012778
Medicare Profile & Education
Palmer College Chiropractic - Davenport
2000
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Nevada, IA
Practicing in Nevada, IA (2109 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
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
|
677 | 65 | $55.00 | $37.14 |
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.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Social Worker - Clinical
Licensed Master Social Worker
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1229 S G AVE, NEVADA, IA 502012778 (Tel: 5153822128)
Registered at 1229 S G AVE, NEVADA, IA 502012778 (Tel: 5153822128)
Recorded as MARK FRIDERES, D.C.
Chiropractor (License #06327 in IA)
Record officially reactivated for active practice on April 04, 2006
Record deactivated on March 18, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1229 S G Ave
Nevada, IA 502012778
Phone: 5153822128
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