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Active NPI 1336243971 Individual Practitioner Male Practitioner

Dr. Lido L Petrucci , DC

Chiropractor • Lagrange, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lido Petrucci, DC is a certified Chiropractor practicing in Lagrange, KY. With approximately 31 years of clinical experience since graduating from Logan College Of Chiropractic in 1995, Dr. Petrucci delivers high-quality medical care to the local community at 301 S 1ST ST.

Dr. Petrucci accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 1-2 spinal regions, chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

301 S 1st St

Lagrange, KY 400311240

Telephone 5022220000
Fax 5022223488
Associated Practice Facility / Clinic
🏢 Lagrange Chiropractic Psc Facility NPI 1477679587

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 Lagrange, KY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs Matches City Avg
City Avg: 31.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Lagrange, KY (1079 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petrucci (31 Years) 31 Yrs
Lagrange Specialty Average (31.0 Years) 31.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
307 32 $57.55 $25.40

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License KY 4315

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
85036697 (KY)
Commercial Insurance / Payer ID Cigna
9943660003 (KY)
Commercial Insurance / Payer ID Aetna
0974279 (KY)
Commercial Insurance / Payer ID Passport Advantage
2438072000 (KY)
Commercial Insurance / Payer ID Railroad Medicare
350048657 (KY)
Commercial Insurance / Payer ID Passport
1140365 (KY)
Commercial Insurance / Payer ID Anthem
000000051634 (KY)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1821765025

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 November 26, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 26, 2007

Registered at 301 S 1ST ST, LAGRANGE, KY 400311240 (Tel: 5022220000)

📍
Updated Business Mailing Address November 26, 2007

Registered at 301 S 1ST ST, LAGRANGE, KY 400311240 (Tel: 5022220000)

👤
Provider Name / Credentials Updated November 26, 2007

Recorded as LIDO PETRUCCI, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2007

Chiropractor (License #4315 in KY)

🟢
Initial NPI Registration & Enumeration September 12, 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: 1336243971
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2006
Last Update: November 26, 2007
Sole Proprietor: Yes

Mailing Address

301 S 1st St

Lagrange, KY 400311240

Phone: 5022220000

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.