DR. DAVID RAY ROETMAN (D.C.) – Chiropractor, NPI 1275015570

DR. DAVID RAY ROETMAN (D.C.) is a healthcare provider. based in Saint paul, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 6536 (MN). The NPI Number for DR. DAVID RAY ROETMAN (D.C.) is 1275015570

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID RAY ROETMAN (D.C.)
NPI
1275015570
Phone
(651) 340-3959
Address
2550 University Ave W Ste 143N
Enumeration Date
4 September 2018
Last Update Date
12 October 2023

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
9529413311
Graduation Year
2018 (8 years ago)
PAC ID
0042562431
Group Practice PAC ID
4587708508
Professional Enrollment ID
I20181012001467
Address ID
MN554352367ED6550XSXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

Provider Addresses for DR. DAVID RAY ROETMAN (D.C.)

  • 2550 University Ave W Ste 143N

    Saint Paul, MN 551141098

    Phone: (651) 340-3959

    Fax: (651) 219-5418

    Type: Location

  • York Avenue South, Edinborough, Edina, Hennepin County, Minnesota, 55435-4534, United States

    EDINA, MN 554352367

    Phone: (952) 941-3311

    Fax: (952) 944-2004

    Type: Mailing

  • York Avenue South, Fulton, Minneapolis, Hennepin County, Minnesota, 55410, United States

    EDINA, MN 554352367

    Phone: (952) 941-3311

    Fax: (952) 944-2004

    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: 2018-10-12

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
I20181012001467IChiropracticMNTBD

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 regions13024$0
View full utilization report →

Insurance plans in this area (ZIP 55114)

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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: 4587708508View full group profile
NameSpecialtyState
-MN
C H I R O P R A C T I CMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

What number should I use to identify DR. DAVID RAY ROETMAN (D.C.) for billing?
Administrative and clinical systems typically use NPI 1275015570 for DR. DAVID RAY ROETMAN (D.C.).
Is DR. DAVID RAY ROETMAN (D.C.) currently accepting referrals based on NPI status?
Registry metadata lists DR. DAVID RAY ROETMAN (D.C.) as active.
How should patients interpret DR. DAVID RAY ROETMAN (D.C.)'s specialty?
The extract shows Chiropractor for DR. DAVID RAY ROETMAN (D.C.). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. DAVID RAY ROETMAN (D.C.)?
DR. DAVID RAY ROETMAN (D.C.) shows a connection to Saint Paul, Minnesota in registry-derived data.
Who maintains DR. DAVID RAY ROETMAN (D.C.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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