MARK MEDEIROS (D.C.) – Chiropractor, NPI 1114996717

MARK MEDEIROS (D.C.) is a healthcare provider. based in Fall river, Massachusetts. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 1523 (MA). The NPI Number for MARK MEDEIROS (D.C.) is 1114996717

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
MARK MEDEIROS (D.C.)
NPI
1114996717
Phone
(508) 677-0733
Address
289 PLEASANT ST
Enumeration Date
16 March 2006
Last Update Date
1 July 2013

Doctor Profile

Medical School Name
NATIONAL COLLEGE OF CHIROPRACTIC
Secondary Phone
7748556352
Graduation Year
1990 (36 years ago)
PAC ID
7416979455
Group Practice PAC ID
6305744251
Professional Enrollment ID
I20051219000915
Address ID
MA027675439RA1250XHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

791 CHIROPRACTIC in MA

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Provider Addresses for MARK MEDEIROS (D.C.)

  • 289, Pleasant Street, Fall River, Bristol County, Massachusetts, 02721, United States

    SUITE 202

    FALL RIVER, MA 027213005

    Phone: (508) 677-0733

    Fax: (508) 646-7641

    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: 2005-12-19

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
I20051219000915IChiropracticMATBD

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 regions11611$0
98940Chiropractic manipulative treatment, 1-2 spinal regions10011$0
View full utilization report →

Insurance plans in this area (ZIP 02721)

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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: 6305744251View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
-MA
-MA
-MA
-MA
Physical Therapist In Private PracticeLA
-MA
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

Where can patients find MARK MEDEIROS (D.C.)'s NPI?
You can confirm MARK MEDEIROS (D.C.) with NPI 1114996717; it appears in the national provider directory.
Does this profile mean MARK MEDEIROS (D.C.) is currently active?
Yes — MARK MEDEIROS (D.C.) appears active in the national provider directory.
Can you summarize MARK MEDEIROS (D.C.)'s specialty in plain language?
Clinically, the directory lists MARK MEDEIROS (D.C.) with Chiropractor. Clinical services aligned with this taxonomy classification.
Where does public data place MARK MEDEIROS (D.C.)?
The snapshot lists Fall River, Massachusetts for MARK MEDEIROS (D.C.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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