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Active NPI 1669129383 Individual Practitioner Male Practitioner

Kody S Kettle

Chiropractor • Chantilly, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kody Kettle is a certified Chiropractor practicing in Chantilly, VA. With approximately 5 years of clinical experience since graduating from Palmer College Chiropractic - West Sunnyvale in 2021, Kody Kettle delivers high-quality medical care to the local community at 24805 PINEBROOK RD STE 314.

Kody Kettle is affiliated with Integrated Healthcare Systems Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 1-2 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

24805 Pinebrook Rd Ste 314

Chantilly, VA 201524128

Telephone 7029573373
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Palmer College Chiropractic - West Sunnyvale

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Chantilly, VA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -11.4 yrs vs City Avg
City Avg: 16.4 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
15 Specialists

Practicing in Chantilly, VA (1607 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kettle (5 Years) 5 Yrs
Chantilly Specialty Average (16.4 Years) 16.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
38 12 $50.00 $27.24

Medical Specialties & State Licenses

CMS Verified: 2024-01-30
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License VA 01045557796

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.

Hospital & Practice Group Affiliations

Integrated Healthcare Systems Inc

43810 Central Station Dr, Ashburn, VA 201477210

Phone: 7037234777

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Vishal Verma , DC

Chiropractor - Rehabilitation

NPI 1568674547

Doctor of Chiropractic

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 30, 2024

Registered at 24805 PINEBROOK RD STE 314, CHANTILLY, VA 201524128 (Tel: 7029573373)

📍
Updated Business Mailing Address January 30, 2024

Registered at 24805 PINEBROOK RD STE 314, CHANTILLY, VA 201524128 (Tel: 7039573373)

NPI Profile Active March 02, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2022

Registered at 43810 CENTRAL STATION DR STE 160, ASHBURN, VA 201477210 (Tel: 7027234777)

📍
Updated Business Mailing Address March 02, 2022

Registered at 4703 OAK FOREST DR, ANNANDALE, VA 220034412 (Tel: 5714217437)

👤
Provider Name / Credentials Updated March 02, 2022

Recorded as KODY KETTLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2022

Chiropractor (License #01045557796 in VA)

🟢
Initial NPI Registration & Enumeration March 02, 2022

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: 1669129383
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2022
Last Update: January 30, 2024
Sole Proprietor: No

Mailing Address

24805 Pinebrook Rd Ste 314

Chantilly, VA 201524128

Phone: 7039573373

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.