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Deactivated NPI 1295727980 Deactivated / Inactive NPI Male Practitioner

Dr. Mikel Dean Lydy , DC

Chiropractor • Crestline, OH

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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. Mikel Lydy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2005
NPI Deactivation Date October 07, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Mikel Lydy, DC was a registered Chiropractor practicing in Crestline, OH. Throughout an active medical career spanning 16 years, Dr. Lydy provided care at the practice location at 1329 COUNTY LINE RD until profile deactivation on 2021-10-07.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 1-2 spinal regions, 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

1329 County Line Rd

Crestline, OH 448271217

Telephone 4196831298
Fax 4196834023
Associated Practice Facility / Clinic
🏢 Lydy Chiropractic, Inc. Facility NPI 1073792628

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Crestline, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Crestline, OH (2830 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
21.5% 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
30 15 $33.00 $25.90

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OH 860

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

1 Associated Practitioners
NPI 1619969300

Doctor of Chiropractic

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 07, 2021

Record deactivated on October 07, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1329 COUNTY LINE RD, CRESTLINE, OH 448271217 (Tel: 4196831298)

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Updated Business Mailing Address July 08, 2007

Registered at 1329 COUNTY LINE RD, CRESTLINE, OH 448271217 (Tel: 4196831298)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MIKEL LYDY, DC

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

Chiropractor (License #860 in OH)

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Initial NPI Registration & Enumeration August 18, 2005

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: 1295727980
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2005
Last Update: July 08, 2007
Deactivation Date: October 07, 2021

Mailing Address

1329 County Line Rd

Crestline, OH 448271217

Phone: 4196831298

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.