DR. JORDAN WADE VICKERY (D.C.) – Chiropractor, NPI 1700109923

DR. JORDAN WADE VICKERY (D.C.) is a healthcare provider. based in Highland, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 038.011632 (IL). The NPI Number for DR. JORDAN WADE VICKERY (D.C.) is 1700109923

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. JORDAN WADE VICKERY (D.C.)
NPI
1700109923
Phone
(618) 654-4451
Address
1000 ZSCHOKKE ST
Enumeration Date
2 March 2010
Last Update Date
14 December 2015

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
6186550333
Graduation Year
2009 (17 years ago)
PAC ID
6608055140
Group Practice PAC ID
3375087836
Professional Enrollment ID
I20110128000975
Address ID
IL620341754GL220XXLNXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

2,145 CHIROPRACTIC in IL

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Provider Addresses for DR. JORDAN WADE VICKERY (D.C.)

  • 1000, Zschokke Street, Highland, Madison County, Illinois, 62249, United States

    HIGHLAND, IL 622491650

    Phone: (618) 654-4451

    Fax: (618) 654-1567

    Type: Mailing

  • Troxler Avenue, Highland, Madison County, Illinois, 62249, United States

    HIGHLAND, IL 622492898

    Phone: (618) 654-3000

    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: 2011-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (891 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
I20110128000975IChiropracticIL2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 regions34245$0
98940Chiropractic manipulative treatment, 1-2 spinal regions14516$0
View full utilization report →

Insurance plans in this area (ZIP 62249)

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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: 3375087836View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
C H I R O P R A C T I CIL
Nurse PractitionerIL
C H I R O P R A C T I CIL
Physician AssistantMO
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Is DR. JORDAN WADE VICKERY (D.C.) listed with a National Provider Identifier?
Yes — DR. JORDAN WADE VICKERY (D.C.) has NPI 1700109923 on file in the registry.
Active or inactive — what applies to DR. JORDAN WADE VICKERY (D.C.)?
You should see DR. JORDAN WADE VICKERY (D.C.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. JORDAN WADE VICKERY (D.C.)?
DR. JORDAN WADE VICKERY (D.C.)'s specialty line reads Chiropractor. Clinical services aligned with this taxonomy classification.
Is DR. JORDAN WADE VICKERY (D.C.) associated with Highland?
Public fields place DR. JORDAN WADE VICKERY (D.C.) around Highland, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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