Dr. David Michael Ellenbogen , DC
Chiropractor • Pacific, 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. David Ellenbogen has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. David Ellenbogen, DC was a registered Chiropractor practicing in Pacific, MO. Throughout an active medical career spanning 16 years, Dr. Ellenbogen provided care at the practice location at 504 W OSAGE ST until profile deactivation on 2023-05-31.
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
504 W Osage St
Pacific, MO 630691335
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Pacific, MO
Practicing in Pacific, MO (2674 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
98941
Chiropractic manipulative treatment, 3-4 spinal regions
|
88 | 19 | $42.95 | $37.46 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
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
Chiropractor
Doctor of Chiropractic
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 31, 2023
NPI status registered as active in NPPES database
Registered at 504 W OSAGE ST, PACIFIC, MO 630691335 (Tel: 6362574622)
Registered at 130 BRIDGEWATER CHASE LN, VILLA RIDGE, MO 630892047 (Tel: 6367425989)
Recorded as DAVID ELLENBOGEN, D.C.
Chiropractor (License #004989 in MO)
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
Mailing Address
130 Bridgewater Chase Ln
Villa Ridge, MO 630892047
Phone: 6367425989
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