DR. MARK MEDLEY (D.C.) – Chiropractor, NPI 1386703197

DR. MARK MEDLEY (D.C.) is a healthcare provider. based in Farmington, Missouri. specializing in Chiropractor. They hold the professional credentials D.C.. They hold a License No. 2002019561 (MO). The NPI Number for DR. MARK MEDLEY (D.C.) is 1386703197

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK MEDLEY (D.C.)
NPI
1386703197
Phone
(573) 756-3400
Address
618 MAPLE VALLEY DR
Enumeration Date
7 December 2006
Last Update Date
12 February 2020

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
5737563400
Graduation Year
2001 (25 years ago)
PAC ID
5698827673
Group Practice PAC ID
0244211605
Professional Enrollment ID
I20090722000508
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARK MEDLEY (D.C.)

  • 618, Maple Valley Drive, Farmington, Saint Francois County, Missouri, 63640, United States

    FARMINGTON, MO 636401976

    Phone: (573) 756-3400

    Type: Location

  • 608, Maple Valley Drive, Farmington, St. Francois County, Missouri, 63640, United States

    FARMINGTON, MO 636401976

    Phone: (573) 756-3400

    Type: Mailing

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: 2009-07-22

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
I20090722000508IChiropracticMOTBD

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 63640)

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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: 0244211605View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

How do I look up DR. MARK MEDLEY (D.C.) by NPI?
Use NPI 1386703197 when you need to reference DR. MARK MEDLEY (D.C.) in forms, claims, or directories.
Is DR. MARK MEDLEY (D.C.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. MARK MEDLEY (D.C.)'s specialty in plain language?
Clinically, the directory lists DR. MARK MEDLEY (D.C.) with Chiropractor. Clinical services aligned with this taxonomy classification.
Where does public data place DR. MARK MEDLEY (D.C.)?
The snapshot lists Farmington, Missouri for DR. MARK MEDLEY (D.C.); download NPPES for the complete set.
Is DR. MARK MEDLEY (D.C.) a real provider?
This page reflects official NPPES data for NPI 1386703197. Always confirm identity and privileges with the practice and licensing boards.

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