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Deactivated NPI 1710029806 Deactivated / Inactive NPI Male Practitioner

Dr. Edward H. Stonebraker , DC

Chiropractor • Derby, VT

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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. Edward Stonebraker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 13, 2007
NPI Deactivation Date September 22, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Edward Stonebraker, DC was a registered Chiropractor practicing in Derby, VT. Throughout an active medical career spanning 15 years, Dr. Stonebraker provided care at the practice location at 562 MAIN STREET until profile deactivation on 2022-09-22.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 5 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

562 Main Street

Derby, VT 05829

Telephone 8027665065
Fax 8027662727

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Derby, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Derby, VT (220 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
13.3% 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
98942 Chiropractic manipulative treatment, 5 spinal regions
67 16 $60.00 $52.03

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License VT 006-0001053

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.

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 September 22, 2022

Record deactivated on September 22, 2022

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 562 MAIN STREET, DERBY, VT 05829 (Tel: 8027665065)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 594, DERBY, VT 058290594 (Tel: 8027665065)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EDWARD STONEBRAKER, D.C.

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

Chiropractor (License #006-0001053 in VT)

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Initial NPI Registration & Enumeration February 13, 2007

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: 1710029806
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2007
Last Update: July 08, 2007
Deactivation Date: September 22, 2022

Mailing Address

Po Box 594

Derby, VT 058290594

Phone: 8027665065

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.