DR. DEVON TYLER MCGILLEM (D.C.) – Chiropractor, NPI 1225264245

DR. DEVON TYLER MCGILLEM (D.C.) is a healthcare provider. based in Greenwood, Indiana. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 08002450A (IN). The NPI Number for DR. DEVON TYLER MCGILLEM (D.C.) is 1225264245

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEVON TYLER MCGILLEM (D.C.)
NPI
1225264245
Phone
(317) 889-8998
Address
450 S STATE ROAD 135
Enumeration Date
4 June 2009
Last Update Date
8 September 2014

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
7653621500
Graduation Year
2009 (17 years ago)
PAC ID
1456498286
Group Practice PAC ID
7416174347
Professional Enrollment ID
I20091027000389
Address ID
IN479331852CR407XXSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

770 CHIROPRACTIC in IN

Provider Addresses for DR. DEVON TYLER MCGILLEM (D.C.)

  • 450 S STATE ROAD 135

    GREENWOOD, IN 461421455

    Phone: (317) 889-8998

    Fax: (317) 889-9127

    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: 2009-10-27

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
I20091027000389IChiropracticINTBD

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 regions1,327110$0
View full utilization report →

Insurance plans in this area (ZIP 46142)

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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: 7416174347View full group profile
NameSpecialtyState
-IN
C H I R O P R A C T I CIN

Reviews

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Frequently asked questions

How do payers reference DR. DEVON TYLER MCGILLEM (D.C.)?
For DR. DEVON TYLER MCGILLEM (D.C.), use NPI 1225264245 as the unique 10-digit identifier.
Is DR. DEVON TYLER MCGILLEM (D.C.) shown as active in public data?
Registry records indicate DR. DEVON TYLER MCGILLEM (D.C.) maintains an active NPI.
What kind of doctor is DR. DEVON TYLER MCGILLEM (D.C.)?
DR. DEVON TYLER MCGILLEM (D.C.) is associated with Chiropractor in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DEVON TYLER MCGILLEM (D.C.)?
Directory geography for DR. DEVON TYLER MCGILLEM (D.C.) centers on Greenwood, Indiana.
Does DR. DEVON TYLER MCGILLEM (D.C.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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