DR. RANDY LAVERNE KLINEDINST (D.C.) – Chiropractor, NPI 1659419331

DR. RANDY LAVERNE KLINEDINST (D.C.) is a healthcare provider. based in Canton, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 038-004195 (IL). The NPI Number for DR. RANDY LAVERNE KLINEDINST (D.C.) is 1659419331

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDY LAVERNE KLINEDINST (D.C.)
NPI
1659419331
Phone
(309) 647-8030
Address
106 MARTIN AVE
Enumeration Date
2 February 2007
Last Update Date
6 January 2015

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
3096478030
Graduation Year
1980 (46 years ago)
PAC ID
5092801803
Group Practice PAC ID
5991837247
Professional Enrollment ID
I20071009000867
Address ID
IL615202519CA106XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,145 CHIROPRACTIC in IL

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Provider Addresses for DR. RANDY LAVERNE KLINEDINST (D.C.)

  • 106, Martin Avenue, Canton, Fulton County, Illinois, 61520, United States

    CANTON, IL 615202519

    Phone: (309) 647-8030

    Fax: (309) 647-5902

    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: 2007-10-09

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
I20071009000867IChiropracticILTBD

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 regions2,657252$0
98940Chiropractic manipulative treatment, 1-2 spinal regions14554$0
View full utilization report →

Insurance plans in this area (ZIP 61520)

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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: 5991837247View full group profile
NameSpecialtyState
C H I R O P R A C T I CIL

Reviews

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Frequently asked questions

What NPI should I save for DR. RANDY LAVERNE KLINEDINST (D.C.)?
Save NPI 1659419331 if you need a stable reference for DR. RANDY LAVERNE KLINEDINST (D.C.).
Is DR. RANDY LAVERNE KLINEDINST (D.C.) active in the national directory?
DR. RANDY LAVERNE KLINEDINST (D.C.)'s public NPI profile is in an active state.
Can you summarize DR. RANDY LAVERNE KLINEDINST (D.C.)'s specialty in plain language?
Clinically, the directory lists DR. RANDY LAVERNE KLINEDINST (D.C.) with Chiropractor. Clinical services aligned with this taxonomy classification.
Where does public data place DR. RANDY LAVERNE KLINEDINST (D.C.)?
The snapshot lists Canton, Illinois for DR. RANDY LAVERNE KLINEDINST (D.C.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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