DR. JEFFERY MICHAEL DEATHERAGE (D.C.) – Chiropractor, NPI 1962784595
Chiropractor
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,145 CHIROPRACTIC in IL
Provider Addresses for DR. JEFFERY MICHAEL DEATHERAGE (D.C.)
2625 BUTTERFIELD RD
STE 301N
OAK BROOK, IL 605231234
Phone: (630) 468-1824
Type: Mailing
546 S RANDALL RD STE F
ST CHARLES, IL 601745914
Phone: (630) 443-0400
Type: Location
36101 BOB HOPE DR STE A
RANCHO MIRAGE, CA 922702001
Phone: (760) 321-1315
Fax: (760) 321-1094
Type: Mailing
PO BOX 700688
SAN ANTONIO, TX 782700688
Phone: (800) 404-6050
Fax: (866) 313-3397
Type: Mailing
2303 RANCH ROAD 620 S STE 190
LAKEWAY, TX 787346232
Phone: (800) 404-6050
Fax: (866) 313-3397
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: 2025-11-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251113002336 | I | Chiropractic | CA | TBD |
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.
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 60523)
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