DR. PETER D CROCKER (D.C.) – Chiropractor, NPI 1437169851

DR. PETER D CROCKER (D.C.) is a healthcare provider. based in Port byron, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 5854 (AZ). The NPI Number for DR. PETER D CROCKER (D.C.) is 1437169851

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER D CROCKER (D.C.)
NPI
1437169851
Phone
(309) 848-9017
Address
PO BOX 97
Enumeration Date
8 August 2006
Last Update Date
9 July 2012

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
3098489017
Graduation Year
1998 (28 years ago)
PAC ID
1658356381
Professional Enrollment ID
I20121206000300
Address ID
IL612759532PO106XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,153 CHIROPRACTIC in IL

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Provider Addresses for DR. PETER D CROCKER (D.C.)

  • PO BOX 97

    PORT BYRON, IL 612750097

    Phone: (309) 848-9017

    Fax: (888) 830-9748

    Type: Mailing

  • 106, North High Street, Port Byron, Rock Island County, Illinois, 61275, United States

    PORT BYRON, IL 612759532

    Phone: (309) 848-9017

    Fax: (888) 830-9748

    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: 2012-12-06

PECOS data refreshed: 2026-06-15

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
I20121206000300IChiropracticILTBD

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 regions24155$0
98940Chiropractic manipulative treatment, 1-2 spinal regions15651$0
View full utilization report →

Insurance plans in this area (ZIP 61275)

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Provider's Procedures

DR. PETER D CROCKER (D.C.) performs procedures in CHIROPRACTIC. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICIL98940Chiropractic manipulative treatment, 1-2 spinal regions14450

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. PETER D CROCKER (D.C.)?
DR. PETER D CROCKER (D.C.) — NPI 1437169851 — is the standard way to identify this listing.
Is DR. PETER D CROCKER (D.C.) still practicing?
DR. PETER D CROCKER (D.C.) is currently listed as active in the public NPI registry.
What healthcare role does DR. PETER D CROCKER (D.C.) hold?
Scheduling teams often label DR. PETER D CROCKER (D.C.) under Chiropractor. Clinical services aligned with this taxonomy classification.
Where should I expect DR. PETER D CROCKER (D.C.) on a map?
Expect Port Byron, Illinois as a primary anchor for DR. PETER D CROCKER (D.C.) unless the record lists multiple sites.
Is the information about DR. PETER D CROCKER (D.C.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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