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Active NPI 1770613580 Individual Practitioner Male Practitioner

Dr. Kirk W Petheram , DC

Chiropractor • Bainbridge Island, WA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Kirk Petheram, DC is a registered Chiropractor practitioner in Bainbridge Island, WA. With approximately 34 years of clinical practice since completing medical education in 1992, Dr. Petheram provides healthcare services at the registered practice location at 701 WINSLOW WAY E STE B.

Dr. Petheram is affiliated with Anthony Rodriguez Dc Pllc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions, 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

701 Winslow Way E Ste B

Bainbridge Island, WA 981102416

Telephone 2068422702
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Bainbridge Island, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
34 Yrs +5.0 yrs vs City Avg
City Avg: 29.0 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Bainbridge Island, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
32.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petheram (34 Years) 34 Yrs
Bainbridge Island Specialty Average (29.0 Years) 29.0 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
729 78 $54.07 $39.32
98940 Chiropractic manipulative treatment, 1-2 spinal regions
52 14 $45.00 $27.32

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA 3554

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 CA 22433

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

Anthony Rodriguez Dc Pllc

1518 Bishop Rd Sw, Tumwater, WA 985127354

Phone: 3609235588

Practice Associates & Co-Workers

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

6 Associated Practitioners
Patricia Hoeper , LMP

Massage Therapist

NPI 1154452936

Licensed Massage Practitioner

Melannie Babboni , LMP

Massage Therapist

NPI 1154520690

Licensed Massage Practitioner

NPI 1467698431
Lisa Sullivan , LMP

Massage Therapist

NPI 1649597857

Licensed Massage Practitioner

Michelle Clemens , LMP

Massage Therapist

NPI 1669503454

Licensed Massage Practitioner

Shelley Reimer , LMT

Massage Therapist

NPI 1811261787

Licensed Massage Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2012

Registered at 701 WINSLOW WAY E STE B, BAINBRIDGE ISLAND, WA 981102416 (Tel: 2068422702)

📍
Updated Business Mailing Address January 12, 2012

Registered at 701 WINSLOW WAY E STE B, BAINBRIDGE ISLAND, WA 981102416 (Tel: 2068422702)

👤
Provider Name / Credentials Updated January 12, 2012

Recorded as KIRK PETHERAM, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2012

Chiropractor (License #3554 in WA)

🟢
Initial NPI Registration & Enumeration March 07, 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: 1770613580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2007
Last Update: January 12, 2012
Sole Proprietor: Yes

Mailing Address

701 Winslow Way E Ste B

Bainbridge Island, WA 981102416

Phone: 2068422702

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.