RONALD EDMISTON (DC) – Chiropractor, NPI 1295831402

RONALD EDMISTON (DC) is a healthcare provider. based in Edwardsvillre, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials DC. The NPI Number for RONALD EDMISTON (DC) is 1295831402

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
RONALD EDMISTON (DC)
NPI
1295831402
Phone
Not provided
Address
103B SOUTH POINTE DR
Enumeration Date
15 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
5496757940
Professional Enrollment ID
I20070213000085
Address ID
IL622698916SH1207XLNXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,145 CHIROPRACTIC in IL

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Provider Addresses for RONALD EDMISTON (DC)

  • 103B SOUTH POINTE DR

    EDWARDSVILLRE, IL 62025

    Phone:

    Type: Mailing

  • 344, South Fillmore Street, Edwardsville, Madison County, Illinois, 62025, United States

    EDWARDSVILLE, IL 620252115

    Phone: (618) 692-6700

    Fax: (618) 692-6711

    Type: Location

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: 2007-02-13

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
I20070213000085IChiropracticILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62025)

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Reviews

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Frequently asked questions

What unique ID ties claims to RONALD EDMISTON (DC)?
NPI 1295831402 is assigned to RONALD EDMISTON (DC) under the national enumeration system.
Is RONALD EDMISTON (DC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is RONALD EDMISTON (DC)?
The page reflects Chiropractor for RONALD EDMISTON (DC). Clinical services aligned with this taxonomy classification.
Where does public data place RONALD EDMISTON (DC)?
The snapshot lists Edwardsvillre, Illinois for RONALD EDMISTON (DC); download NPPES for the complete set.
Is RONALD EDMISTON (DC) a real provider?
This page reflects official NPPES data for NPI 1295831402. Always confirm identity and privileges with the practice and licensing boards.

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