Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619978129 Individual Practitioner Female Practitioner

Dr. Lisa A Tack , DC

Chiropractor • Calvert City, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Tack, DC is a certified Chiropractor practicing in Calvert City, KY. With approximately 31 years of clinical experience since graduating from Logan College Of Chiropractic in 1995, Dr. Tack delivers high-quality medical care to the local community at 5131 US HIGHWAY 62.

Dr. Tack is affiliated with Bradley A Tack Psc and accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions, 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

5131 Us Highway 62

Calvert City, KY 420298390

Telephone 2703954540
Fax 2703957715
Associated Practice Facility / Clinic
🏢 Bradley A. Tack P.s.c. Facility NPI 1003969460

Medicare Profile & Education

Medical School

Logan College Of Chiropractic

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Calvert City, KY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs -12.7 yrs vs City Avg
City Avg: 43.7 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Calvert City, KY (1079 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
23.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tack (31 Years) 31 Yrs
Calvert City Specialty Average (43.7 Years) 43.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
118 14 $50.00 $38.40

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License KY 4311

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
85001477 (KY)

Hospital & Practice Group Affiliations

Bradley A Tack Psc

5131 Us Hwy 62, Calvert City, KY 420298390

Phone: 2703954540

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1316948839

Doctor of Chiropractic

NPI 1386645737

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 July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 5131 US HIGHWAY 62, CALVERT CITY, KY 420298390 (Tel: 2703954540)

📍
Updated Business Mailing Address July 09, 2007

Registered at 330 OAK SHADOW LN, BENTON, KY 420255494 (Tel: 2705278216)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as LISA TACK, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Chiropractor (License #4311 in KY)

🟢
Initial NPI Registration & Enumeration August 09, 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: 1619978129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

330 Oak Shadow Ln

Benton, KY 420255494

Phone: 2705278216

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.