Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770521221 Individual Practitioner Male Practitioner

Dr. Clinton Jerome Petersen , DC

Chiropractor • Gillette, WY

Professional Overview & Biography Verified Profile Summary

Dr. Clinton Petersen, DC is a registered healthcare professional specializing in Chiropractor in Gillette, WY. Practice services are available at 3805 S DOUGLAS HWY under active NPI credentials.

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

3805 S Douglas Hwy
Unit 1

Gillette, WY 827186554

Telephone 3076860303
Fax 3076862882
Associated Practice Facility / Clinic
🏢 Petersen Chiropractic Llc Facility NPI 1023324597

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Gillette, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Gillette, WY (179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.2% 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 (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
47 31 $70.00 $39.78

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WY 623

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

11 Historical Events
NPI Profile Active February 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2018

Registered at 3805 S DOUGLAS HWY, UNIT 1, GILLETTE, WY 827186554 (Tel: 3076860303)

📍
Updated Business Mailing Address February 12, 2018

Registered at 3805 S DOUGLAS HWY, UNIT 1, GILLETTE, WY 827186554 (Tel: 3076860303)

👤
Provider Name / Credentials Updated February 12, 2018

Recorded as CLINTON PETERSEN, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2018

Chiropractor (License #623 in WY)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 201 W LAKEWAY RD, SUITE 510, GILLETTE, WY 827186361 (Tel: 3076860303)

📍
Updated Business Mailing Address July 08, 2007

Registered at 201 W LAKEWAY RD, SUITE 510, GILLETTE, WY 827186361 (Tel: 3076860303)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CLINTON PETERSEN, D.C.

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

Chiropractor (License #623 in WY)

🟢
Initial NPI Registration & Enumeration June 04, 2006

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: 1770521221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

3805 S Douglas Hwy, Unit 1

Gillette, WY 827186554

Phone: 3076860303

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.