Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1629163514 Deactivated / Inactive NPI Male Practitioner

Dr. Gary Lee Peterson , DC PA

Chiropractor • Albuquerque, NM

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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. Gary Peterson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 04, 2006
NPI Deactivation Date February 28, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Peterson, DC PA was a registered Chiropractor practicing in Albuquerque, NM. Throughout an active medical career spanning 18 years, Dr. Peterson provided care at the practice location at 7100 MENAUL BLVD NE until profile deactivation on 2024-02-28.

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

7100 Menaul Blvd Ne

Albuquerque, NM 871103688

Telephone 5058835858
Fax 5058830010
Associated Practice Facility / Clinic
🏢 Chiropractic Arts Facility NPI 1326221417

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.9 Yrs
State Avg: 25.5 Yrs
Regional Practice Density
156 Specialists

Practicing in Albuquerque, NM (448 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.0% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
122 48 $93.76 $37.46

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License NM 317

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

5 Associated Practitioners
NPI 1023185121

Doctor of Chiropractic

Robert Martin , LMT

Massage Therapist

NPI 1033287925

Licensed Massage Therapist

Cecilia Flores , LMT

Massage Therapist

NPI 1396399481

Licensed Massage Therapist

NPI 1710203823

Doctor of Chiropractic

NPI 1720121502

Doctor of Chiropractic

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated February 28, 2024

Record deactivated on February 28, 2024

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2024

Chiropractor (License #317 in IA)

NPI Profile Active April 10, 2012

NPI status registered as active in NPPES database

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Updated Practice Location April 10, 2012

Registered at 7100 MENAUL BLVD NE, ALBUQUERQUE, NM 871103688 (Tel: 5058835858)

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Updated Business Mailing Address April 10, 2012

Registered at 7100 MENAUL BLVD NE, ALBUQUERQUE, NM 871103688 (Tel: 5058835858)

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Provider Name / Credentials Updated April 10, 2012

Recorded as GARY PETERSON, DC PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2012

Chiropractor (License #317 in NM)

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Initial NPI Registration & Enumeration October 04, 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: 1629163514
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: April 10, 2012
Deactivation Date: February 28, 2024

Mailing Address

7100 Menaul Blvd Ne

Albuquerque, NM 871103688

Phone: 5058835858

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.