Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285005454 Individual Practitioner Female Practitioner

Dr. Lynne Gibbs , DC

Chiropractor • Ballwin, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lynne Gibbs, DC is a certified Chiropractor practicing in Ballwin, MO. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Gibbs delivers high-quality medical care to the local community at 485 WILDWOOD PKWY STE 4.

Dr. Gibbs is affiliated with Logan University and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

485 Wildwood Pkwy Ste 4

Ballwin, MO 630112667

Telephone 6363455100
Fax 6362160346
Associated Practice Facility / Clinic
🏢 Creative Change, Llc Facility NPI 1760515498

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Ballwin, MO

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -10.8 yrs vs City Avg
City Avg: 21.8 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
40 Specialists

Practicing in Ballwin, MO (2674 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. Gibbs (11 Years) 11 Yrs
Ballwin Specialty Average (21.8 Years) 21.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-06-18
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MO 2015026851

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.

Hospital & Practice Group Affiliations

Logan University

1851 Schoettler Rd, Chesterfield, MO 630175529

Phone: 6362272100

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1598816035

Doctor of Chiropractic

NPI 1770442519

Doctor of Chiropractic

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location June 18, 2021

Registered at 485 WILDWOOD PKWY STE 4, BALLWIN, MO 630112667 (Tel: 6363455100)

📍
Updated Practice Location October 03, 2019

Registered at 177 CLARKSON EXECUTIVE PARK, ELLISVILLE, MO 630112176 (Tel: 6366287909)

📍
Updated Business Mailing Address October 03, 2019

Registered at 177 CLARKSON EXECUTIVE PARK, ELLISVILLE, MO 630112176 (Tel: 6366287909)

NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2017

Registered at 7921 CLAYTON RD, SAINT LOUIS, MO 631171369 (Tel: 3148027195)

📍
Updated Business Mailing Address December 13, 2017

Registered at 7921 CLAYTON RD, SAINT LOUIS, MO 631171369 (Tel: 3148027195)

👤
Provider Name / Credentials Updated December 13, 2017

Recorded as LYNNE GIBBS, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Chiropractor (License #2015026851 in MO)

NPI Profile Active October 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 14, 2015

Registered at 7921 CLAYTON RD, SAINT LOUIS, MO 631171369 (Tel: 3148027195)

📍
Updated Business Mailing Address October 14, 2015

Registered at 7921 CLAYTON RD, SAINT LOUIS, MO 631171369 (Tel: 3148027195)

👤
Provider Name / Credentials Updated October 14, 2015

Recorded as LYNNE CERUTTI, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2015

Chiropractor (License #2015026851 in MO)

🟢
Initial NPI Registration & Enumeration October 14, 2015

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: 1285005454
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2015
Last Update: June 18, 2021
Sole Proprietor: No

Mailing Address

177 Clarkson Executive Park

Ellisville, MO 630112176

Phone: 6366287909

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.