Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1295939205 Deactivated / Inactive NPI Male Practitioner

Dr. Gerard Isaac Porter , DC

Chiropractor • Bolivar, MO

⚠️

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. Gerard Porter has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 13, 2007
NPI Deactivation Date December 11, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Gerard Porter, DC was a registered Chiropractor practicing in Bolivar, MO. Throughout an active medical career spanning 18 years, Dr. Porter provided care at the practice location at 495 S MAIN AVE STE C until profile deactivation on 2025-12-11.

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

Practice Address

495 S Main Ave Ste C

Bolivar, MO 656132126

Telephone 4173268010
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Bolivar, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Bolivar, MO (2674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
0.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
66 12 $38.00 $37.86

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MO 005711

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.

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated December 11, 2025

Record deactivated on December 11, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 495 S MAIN AVE STE C, BOLIVAR, MO 656132126 (Tel: 4173268010)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 198, BOLIVAR, MO 656130198 (Tel: 4173268010)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GERARD PORTER, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #005711 in MO)

🟢
Initial NPI Registration & Enumeration June 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Gerard Porter. Be the first to share your experience!

Sign in to leave a review for Dr. Gerard Porter

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1295939205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2007
Last Update: July 08, 2007
Deactivation Date: December 11, 2025

Mailing Address

Po Box 198

Bolivar, MO 656130198

Phone: 4173268010

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.