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Active NPI 1669521324 Individual Practitioner Male Practitioner

Dr. Stephan Paul Ediss , DC

Chiropractor • Douglas, WY

Professional Overview & Biography Verified Profile Summary

Dr. Stephan Ediss, DC is a certified Chiropractor practicing in Douglas, WY. With approximately 34 years of clinical experience since graduating from Los Angeles College Of Chiropractic in 1992, Dr. Ediss delivers high-quality medical care to the local community at 1330 E. RICHARDS.

Dr. Ediss does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1330 E. Richards

Douglas, WY 82633

Telephone 3073583147
Fax 3073583213
Associated Practice Facility / Clinic
🏢 Ediss Chiropractic, Inc Facility NPI 1477736015

Medicare Profile & Education

Medical School

Los Angeles College Of Chiropractic

Graduation Year

1992

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Douglas, WY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
34 Yrs -6.0 yrs vs City Avg
City Avg: 40.0 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Douglas, WY (179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
11.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ediss (34 Years) 34 Yrs
Douglas Specialty Average (40.0 Years) 40.0 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
323 72 $41.52 $36.61

Medical Specialties & State Licenses

CMS Verified: 2021-01-20
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WY 574

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

6 Historical Events
NPI Profile Active October 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 09, 2007

Registered at 1330 E. RICHARDS, DOUGLAS, WY 82633 (Tel: 3073583147)

📍
Updated Business Mailing Address October 09, 2007

Registered at PO BOX 902, 1330 E. RICHARDS, DOUGLAS, WY 826330902 (Tel: 3073583147)

👤
Provider Name / Credentials Updated October 09, 2007

Recorded as STEPHAN EDISS, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2007

Chiropractor (License #574 in WY)

🟢
Initial NPI Registration & Enumeration January 10, 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: 1669521324
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2007
Last Update: January 20, 2021
Sole Proprietor: No

Mailing Address

Po Box 902, 1330 E. Richards

Douglas, WY 826330902

Phone: 3073583147

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.