DR. JERAMY DAVID BLACKWOOD (D.C.) – Chiropractor, NPI 1174852016

DR. JERAMY DAVID BLACKWOOD (D.C.) is a healthcare provider. based in Milan, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 038.011293 (IL). The NPI Number for DR. JERAMY DAVID BLACKWOOD (D.C.) is 1174852016

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERAMY DAVID BLACKWOOD (D.C.)
NPI
1174852016
Phone
(309) 520-0222
Address
222 10TH AVE E
Enumeration Date
23 December 2009
Last Update Date
28 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3095200222
Graduation Year
2008 (18 years ago)
PAC ID
9931381738
Professional Enrollment ID
I20110316000240
Address ID
IL612643120MI222XXEXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Digital endpointsOther names

2,145 CHIROPRACTIC in IL

Provider Addresses for DR. JERAMY DAVID BLACKWOOD (D.C.)

  • 222 10TH AVE E

    MILAN, IL 612643120

    Phone: (309) 520-0222

    Type: Mailing

  • 3012, 18th Avenue, North Highland, Moline, Rock Island County, Illinois, 61265, United States

    ROCK ISLAND, IL 612012939

    Phone: (309) 786-4131

    Fax: (309) 786-0797

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $136.

Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($57).

Total Amount

$136

General + Research + Ownership

Payments

6

Total payment records

General Amount

$136

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-03-16

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
I20110316000240IChiropracticILTBD

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
98942Chiropractic manipulative treatment, 5 spinal regions31339$0
98941Chiropractic manipulative treatment, 3-4 spinal regions22127$0
View full utilization report →

Insurance plans in this area (ZIP 61264)

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Reviews

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Frequently asked questions

What federal number belongs to DR. JERAMY DAVID BLACKWOOD (D.C.)?
The federal identifier for DR. JERAMY DAVID BLACKWOOD (D.C.) is NPI 1174852016.
Does this profile mean DR. JERAMY DAVID BLACKWOOD (D.C.) is currently active?
Yes — DR. JERAMY DAVID BLACKWOOD (D.C.) appears active in the national provider directory.
Does DR. JERAMY DAVID BLACKWOOD (D.C.) list a primary specialty?
If you are matching referrals, note Chiropractor for DR. JERAMY DAVID BLACKWOOD (D.C.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JERAMY DAVID BLACKWOOD (D.C.)?
The page summarizes Milan, Illinois for DR. JERAMY DAVID BLACKWOOD (D.C.); expand the address list for detail.
How can I contact DR. JERAMY DAVID BLACKWOOD (D.C.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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