DR. GARY LYNN JR. GREENLEE (D.C.) – Chiropractor, NPI 1043497043

DR. GARY LYNN JR. GREENLEE (D.C.) is a healthcare provider. based in Potosi, Missouri. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 2003017111 (MO). The NPI Number for DR. GARY LYNN JR. GREENLEE (D.C.) is 1043497043

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY LYNN JR. GREENLEE (D.C.)
NPI
1043497043
Phone
(573) 438-8500
Address
200 HEALTH WAY DR
Enumeration Date
22 January 2008
Last Update Date
17 June 2014

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
5734385451355
Graduation Year
2003 (23 years ago)
PAC ID
2062476112
Group Practice PAC ID
3476456880
Professional Enrollment ID
I20041117001119
Address ID
MO636641420PO300XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,129 CHIROPRACTIC in MO

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Provider Addresses for DR. GARY LYNN JR. GREENLEE (D.C.)

  • Health Way Drive, Potosi, Washington County, Missouri, 63660, United States

    POTOSI, MO 636641434

    Phone: (573) 438-8500

    Fax: (573) 438-8787

    Type: Mailing

  • 108, Frizzell Street, Potosi, Washington County, Missouri, 63664, United States

    POTOSI, MO 636641505

    Phone: (573) 438-8500

    Fax: (573) 438-8787

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $560.

Total Amount is formed as General ($560) + Research ($0) + Ownership ($0) = $560.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($203).

Total Amount

$560

General + Research + Ownership

Payments

31

Total payment records

General Amount

$560

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-11-17

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
I20041117001119IChiropracticMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63664)

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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: 3476456880View full group profile
NameSpecialtyState
General Practice, Family PracticeMO
Pain Management, Anesthesiology, Anesthesiology, Pain ManagementMO
-IA
Internal MedicineMO
Nurse PractitionerMO
Clinical Social WorkerMO
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseMO
Orthopedic SurgeryMO
Rheumatology, Internal MedicineIL
Nurse PractitionerMO

Reviews

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Frequently asked questions

Can I verify DR. GARY LYNN JR. GREENLEE (D.C.) with an NPI only?
You can start verification with NPI 1043497043 for DR. GARY LYNN JR. GREENLEE (D.C.), then check state licensing separately.
Can I rely on DR. GARY LYNN JR. GREENLEE (D.C.) being an active provider?
As of the registry snapshot, DR. GARY LYNN JR. GREENLEE (D.C.) is marked active.
What healthcare role does DR. GARY LYNN JR. GREENLEE (D.C.) hold?
Scheduling teams often label DR. GARY LYNN JR. GREENLEE (D.C.) under Chiropractor. Clinical services aligned with this taxonomy classification.
Where is DR. GARY LYNN JR. GREENLEE (D.C.) based?
DR. GARY LYNN JR. GREENLEE (D.C.) is tied to Potosi, Missouri in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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