Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154484111 Individual Practitioner Male Practitioner

Dr. Peter Shaun Kavanaugh , DC

Chiropractor • Philadelphia, PA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kavanaugh, DC is a registered healthcare professional specializing in Chiropractor in Philadelphia, PA. Practice services are available at 3301 RYAN AVE under active NPI credentials.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3301 Ryan Ave

Philadelphia, PA 191364301

Telephone 2153328686
Fax 2153328691
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Philadelphia, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.1 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
225 Specialists

Practicing in Philadelphia, PA (4175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
13.6% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
488 46 $50.00 $43.18

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License PA 1897

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
087374 (PA)
Commercial Insurance / Payer ID Keystone
0061018000 (PA)
Commercial Insurance / Payer ID Personal Choice
2142140000 (PA)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1083056683

Doctor of Chiropractic

NPI 1922734656

Doctor of Chiropractic

NPI 1942376892

Doctor of Chiropractic

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 07, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2012

Registered at 3301 RYAN AVE, PHILADELPHIA, PA 191364301 (Tel: 2153328686)

📍
Updated Business Mailing Address February 07, 2012

Registered at 3301 RYAN AVE, PHILADELPHIA, PA 19136 (Tel: 2153328686)

👤
Provider Name / Credentials Updated February 07, 2012

Recorded as PETER KAVANAUGH, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2012

Chiropractor (License #1897 in PA)

🟢
Initial NPI Registration & Enumeration December 19, 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: 1154484111
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2006
Last Update: February 07, 2012
Sole Proprietor: Yes

Mailing Address

3301 Ryan Ave

Philadelphia, PA 19136

Phone: 2153328686

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.