Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1710318142 Deactivated / Inactive NPI Male Practitioner

Dr. Corey David Idrogo , DC

Chiropractor • Chattanooga, TN

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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. Corey Idrogo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 11, 2013
NPI Deactivation Date November 14, 2023
Total Practice Duration ~10 Years of Practice (2013 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Corey Idrogo, DC was a registered Chiropractor practicing in Chattanooga, TN. Throughout an active medical career spanning 10 years, Dr. Idrogo provided care at the practice location at 4109 MOUNTAIN VIEW AVE until profile deactivation on 2023-11-14.

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

4109 Mountain View Ave
Suite 400

Chattanooga, TN 37415

Telephone 4233151690
Fax 4237775571

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Chattanooga, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.2 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
92 Specialists

Practicing in Chattanooga, TN (1601 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.4% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
106 16 $60.00 $26.36
98941 Chiropractic manipulative treatment, 3-4 spinal regions
69 12 $60.00 $38.02

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License TN 2852

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.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License IL 038012545

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
Dr. John Fee , DC

Chiropractor

NPI 1831819150

Doctor of Chiropractic

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Reactivated November 28, 2023

Record officially reactivated for active practice on November 28, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2023

Chiropractor (License #038012545 in IL)

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NPI Profile Deactivated November 14, 2023

Record deactivated on November 14, 2023

NPI Profile Active October 08, 2015

NPI status registered as active in NPPES database

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Updated Practice Location October 08, 2015

Registered at 4109 MOUNTAIN VIEW AVE, SUITE 400, CHATTANOOGA, TN 37415 (Tel: 4233151690)

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Updated Business Mailing Address October 08, 2015

Registered at 4109 MOUNTAIN VIEW AVE, SUITE 400, CHATTANOOGA, TN 374152096 (Tel: 4233151690)

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Provider Name / Credentials Updated October 08, 2015

Recorded as COREY IDROGO, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2015

Chiropractor (License #2852 in TN)

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Initial NPI Registration & Enumeration December 11, 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: 1710318142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2013
Last Update: November 28, 2023
Deactivation Date: November 14, 2023
Sole Proprietor: Yes

Mailing Address

4109 Mountain View Ave, Suite 400

Chattanooga, TN 374152096

Phone: 4233151690

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.