MR. RYDER MICHAEL CHURCH (D.C.) – Chiropractor, NPI 1104898659

MR. RYDER MICHAEL CHURCH (D.C.) is a healthcare provider. based in Peoria, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 038007166 (IL). The NPI Number for MR. RYDER MICHAEL CHURCH (D.C.) is 1104898659

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
MR. RYDER MICHAEL CHURCH (D.C.)
NPI
1104898659
Phone
(309) 693-1212
Address
901 W GLEN AVE
Enumeration Date
7 February 2006
Last Update Date
30 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096931212
Graduation Year
1992 (34 years ago)
PAC ID
3971406257
Professional Enrollment ID
I20040204000198
Address ID
IL616144843PE901XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,145 CHIROPRACTIC in IL

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Provider Addresses for MR. RYDER MICHAEL CHURCH (D.C.)

  • 901, West Glen Avenue, Peoria, Peoria County, Illinois, 61614, United States

    SUITE A

    PEORIA, IL 616144836

    Phone: (309) 693-1212

    Fax: (309) 693-2147

    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: 2004-02-04

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
I20040204000198IChiropracticILTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions89067$0
View full utilization report →

Insurance plans in this area (ZIP 61614)

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Reviews

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Frequently asked questions

Is MR. RYDER MICHAEL CHURCH (D.C.) listed with a National Provider Identifier?
Yes — MR. RYDER MICHAEL CHURCH (D.C.) has NPI 1104898659 on file in the registry.
Would MR. RYDER MICHAEL CHURCH (D.C.) appear as active to a payer?
You can treat MR. RYDER MICHAEL CHURCH (D.C.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MR. RYDER MICHAEL CHURCH (D.C.)?
MR. RYDER MICHAEL CHURCH (D.C.)'s record emphasizes Chiropractor. Clinical services aligned with this taxonomy classification.
Is MR. RYDER MICHAEL CHURCH (D.C.) associated with Peoria?
Public fields place MR. RYDER MICHAEL CHURCH (D.C.) around Peoria, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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