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Deactivated NPI 1558360362 Deactivated / Inactive NPI Male Practitioner

Dr. Jay Doyle Anderson , DC

Chiropractor • Spanish Fork, UT

✓ Accepts Medicare Assignment
⚠️

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. Jay Anderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 14, 2005
NPI Deactivation Date March 17, 2006
Total Practice Duration ~17 Years of Practice (1989 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Jay Anderson, DC was a registered Chiropractor practicing in Spanish Fork, UT. Throughout an active medical career spanning 17 years, Dr. Anderson provided care at the practice location at 642 KIRBY LN STE 103 until profile deactivation on 2006-03-17.

Dr. Anderson accepted Medicare assignment.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 5 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

642 Kirby Ln Ste 103

Spanish Fork, UT 846605753

Telephone 8017986558
Fax 8017983690
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Spanish Fork, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs +15.4 yrs vs City Avg
City Avg: 21.6 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Spanish Fork, UT (942 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Anderson (37 Years) 37 Yrs
Spanish Fork Specialty Average (21.6 Years) 21.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
357 29 $106.00 $37.57
98942 Chiropractic manipulative treatment, 5 spinal regions
280 20 $120.00 $48.53

Medical Specialties & State Licenses

CMS Verified: 2022-12-02
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License UT 942708911202

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 1407588825

Doctor of Chiropractic

Career & Practice History Timeline

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

10 Historical Events
👤
Provider Name / Credentials Updated December 02, 2022

Recorded as JAY ANDERSON, DC

📍
Updated Practice Location July 13, 2022

Registered at 642 KIRBY LN STE 103, SPANISH FORK, UT 846605753 (Tel: 8017986558)

📍
Updated Business Mailing Address July 13, 2022

Registered at 642 KIRBY LN STE 103, SPANISH FORK, UT 846605753 (Tel: 8017986558)

📍
Updated Practice Location July 08, 2007

Registered at 57 E 800 N, SPANISH FORK, UT 846601210 (Tel: 8017986558)

📍
Updated Business Mailing Address July 08, 2007

Registered at 57 E 800 N, SPANISH FORK, UT 846601210 (Tel: 8017986558)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JAY ANDERSON, M.D.

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

Chiropractor (License #942708911202 in UT)

🔄
NPI Profile Reactivated April 04, 2006

Record officially reactivated for active practice on April 04, 2006

⚠️
NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

🟢
Initial NPI Registration & Enumeration July 14, 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: 1558360362
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2005
Last Update: December 02, 2022
Deactivation Date: March 17, 2006
Sole Proprietor: No

Mailing Address

642 Kirby Ln Ste 103

Spanish Fork, UT 846605753

Phone: 8017986558

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.