Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588001358 Individual Practitioner Male Practitioner

Bennett Micah Wyllie

Chiropractor • Gladstone, MO

Professional Overview & Biography Verified Profile Summary

Bennett Wyllie is a registered healthcare professional specializing in Chiropractor in Gladstone, MO. Practice services are available at 305 NW ENGLEWOOD CT under active NPI credentials.

Frequently performed procedures and clinical services include 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

305 Nw Englewood Ct
Suite 200

Gladstone, MO 641184072

Telephone 8164545433
Fax 8164548455
Associated Practice Facility / Clinic
🏢 Chiropractic Life Center Pc Facility NPI 1538112677

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Gladstone, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.8 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Gladstone, MO (2674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.7% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
26 24 $55.00 $27.69

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MO 2013013255

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1255407540

Doctor of Chiropractic

NPI 1275570780

Doctor of Chiropractic

NPI 1629392071

Doctor of Chiropractic

NPI 1952408924

Doctor of Chiropractic, DABCO

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 03, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2013

Registered at 305 NW ENGLEWOOD CT, SUITE 200, GLADSTONE, MO 641184072 (Tel: 8164545433)

📍
Updated Business Mailing Address June 03, 2013

Registered at 305 NW ENGLEWOOD CT, SUITE 200, GLADSTONE, MO 641184072 (Tel: 8164545433)

👤
Provider Name / Credentials Updated June 03, 2013

Recorded as BENNETT WYLLIE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2013

Chiropractor (License #2013013255 in MO)

🟢
Initial NPI Registration & Enumeration June 03, 2013

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: 1588001358
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2013
Last Update: June 03, 2013
Sole Proprietor: No

Mailing Address

305 Nw Englewood Ct, Suite 200

Gladstone, MO 641184072

Phone: 8164545433

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.