DEREK GORACKE (DC) – Chiropractor, NPI 1104398171

DEREK GORACKE (DC) is a healthcare provider. based in Alexandria, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 6566 (MN). The NPI Number for DEREK GORACKE (DC) is 1104398171

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DEREK GORACKE (DC)
NPI
1104398171
Phone
(320) 763-9711
Address
510 22ND AVE E STE 701
Enumeration Date
1 January 2019
Last Update Date
1 January 2019

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
3207639711
Graduation Year
2018 (8 years ago)
PAC ID
9739420860
Group Practice PAC ID
5698725448
Professional Enrollment ID
I20190417002486
Address ID
MN563084817AL510XXEXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

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Provider Addresses for DEREK GORACKE (DC)

  • 701, 22nd Avenue East, Mobile Park Estates, Alexandria, Douglas County, Minnesota, 56308, United States

    ALEXANDRIA, MN 563084817

    Phone: (320) 763-9711

    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: 2019-04-17

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
I20190417002486IChiropracticMNTBD

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 regions18726$0
View full utilization report →

Insurance plans in this area (ZIP 56308)

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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: 5698725448View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

Where can patients find DEREK GORACKE (DC)'s NPI?
You can confirm DEREK GORACKE (DC) with NPI 1104398171; it appears in the national provider directory.
Is DEREK GORACKE (DC) active in the national directory?
DEREK GORACKE (DC)'s public NPI profile is in an active state.
What does DEREK GORACKE (DC) treat or focus on?
Patients typically see DEREK GORACKE (DC) under the specialty Chiropractor. Clinical services aligned with this taxonomy classification.
What location metadata exists for DEREK GORACKE (DC)?
The page summarizes Alexandria, Minnesota for DEREK GORACKE (DC); expand the address list for detail.
What if Alexandria, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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