DR. GREGORY WADE EDSTROM (D.C.) – Chiropractor, NPI 1447389119

DR. GREGORY WADE EDSTROM (D.C.) is a healthcare provider. based in Affton, Missouri. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 03699 (MO). The NPI Number for DR. GREGORY WADE EDSTROM (D.C.) is 1447389119

Main info

Male
Sole Proprietor
53 Years Of Experience
Name
DR. GREGORY WADE EDSTROM (D.C.)
NPI
1447389119
Phone
(314) 842-4929
Address
5714 S LINDBERGH BLVD
Enumeration Date
5 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
3148424929
Graduation Year
1973 (53 years ago)
PAC ID
4486795416
Professional Enrollment ID
I20100112000742
Address ID
MO631236955SA5714XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,129 CHIROPRACTIC in MO

Provider Addresses for DR. GREGORY WADE EDSTROM (D.C.)

  • 5714 S LINDBERGH BLVD

    #7

    AFFTON, MO 631236955

    Phone: (314) 842-4929

    Fax: (314) 842-1829

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2010-01-12

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
I20100112000742IChiropracticMOTBD

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 regions39727$0
View full utilization report →

Insurance plans in this area (ZIP 63123)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up DR. GREGORY WADE EDSTROM (D.C.) by NPI?
Use NPI 1447389119 when you need to reference DR. GREGORY WADE EDSTROM (D.C.) in forms, claims, or directories.
Does this profile mean DR. GREGORY WADE EDSTROM (D.C.) is currently active?
Yes — DR. GREGORY WADE EDSTROM (D.C.) appears active in the national provider directory.
What field does DR. GREGORY WADE EDSTROM (D.C.) work in?
You can think of DR. GREGORY WADE EDSTROM (D.C.) as practicing within Chiropractor. Clinical services aligned with this taxonomy classification.
Where does public data place DR. GREGORY WADE EDSTROM (D.C.)?
The snapshot lists Affton, Missouri for DR. GREGORY WADE EDSTROM (D.C.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

4348, Schmittwoods Court, Susan Gardens, Lemay, Saint Louis County, Missouri, 63123, United States
NPI: 1619053907
4348 SCHMITTWOODS CT
NPI: 1780729913
8005 MACKENZIE ROAD
NPI: 1144656448
8005 MACKENZIE RD
NPI: 1629499728
8005 MACKENZIE RD
NPI: 1932523131
450 WATERSIDE DR
NPI: 1225449937