DR. ANDREW THOMAS PORTAL (D.C.) – Chiropractor, NPI 1790121713

DR. ANDREW THOMAS PORTAL (D.C.) is a healthcare provider. based in Deland, Florida. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. CH 10739 (FL). The NPI Number for DR. ANDREW THOMAS PORTAL (D.C.) is 1790121713

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW THOMAS PORTAL (D.C.)
NPI
1790121713
Phone
(386) 734-2592
Address
844 N STONE ST
Enumeration Date
16 May 2013
Last Update Date
10 January 2014

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
8139940151
Graduation Year
2010 (16 years ago)
PAC ID
3971732504
Group Practice PAC ID
3375943145
Professional Enrollment ID
I20140131000667
Address ID
FL336472759TA20433BLVD500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,472 CHIROPRACTIC in FL

Provider Addresses for DR. ANDREW THOMAS PORTAL (D.C.)

  • 844 N STONE ST

    STE 202

    DELAND, FL 327203208

    Phone: (386) 734-2592

    Fax: (386) 734-1773

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140131000667IChiropracticFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98940Chiropractic manipulative treatment, 1-2 spinal regions17314$0
View full utilization report →

Insurance plans in this area (ZIP 32720)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375943145View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationNJ
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Orthopedic SurgeryFL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyFL

Reviews

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Frequently asked questions

What federal number belongs to DR. ANDREW THOMAS PORTAL (D.C.)?
The federal identifier for DR. ANDREW THOMAS PORTAL (D.C.) is NPI 1790121713.
Is DR. ANDREW THOMAS PORTAL (D.C.)'s NPI currently valid?
The extract we use shows DR. ANDREW THOMAS PORTAL (D.C.) as active.
Does DR. ANDREW THOMAS PORTAL (D.C.) list a primary specialty?
If you are matching referrals, note Chiropractor for DR. ANDREW THOMAS PORTAL (D.C.). Clinical services aligned with this taxonomy classification.
What location shows for DR. ANDREW THOMAS PORTAL (D.C.)?
We surface Deland, Florida for DR. ANDREW THOMAS PORTAL (D.C.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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