MR. MARK R DITZENBERGER (D.C.) – Chiropractor, NPI 1508894692

MR. MARK R DITZENBERGER (D.C.) is a healthcare provider. based in Blue springs, Missouri. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 38010718 (IL). The NPI Number for MR. MARK R DITZENBERGER (D.C.) is 1508894692

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARK R DITZENBERGER (D.C.)
NPI
1508894692
Phone
(816) 224-6200
Address
701 N. 7 HIGHWAY
Enumeration Date
29 June 2006
Last Update Date
10 December 2008

Doctor Profile

Medical School Name
CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Secondary Phone
8162246200
Graduation Year
2004 (22 years ago)
PAC ID
0648275677
Group Practice PAC ID
8426041526
Professional Enrollment ID
I20081217000197
Address ID
MO640142436BL701XXBXXX601
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

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Provider Addresses for MR. MARK R DITZENBERGER (D.C.)

  • Dwight D. Eisenhower Highway, Blue Springs, Jackson County, Missouri, 64015, United States

    SUITE B

    BLUE SPRINGS, MO 640142436

    Phone: (816) 224-6200

    Fax: (816) 224-2788

    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: 2008-12-17

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
I20081217000197IChiropracticMOTBD

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 regions56061$0
98940Chiropractic manipulative treatment, 1-2 spinal regions17336$0
View full utilization report →

Insurance plans in this area (ZIP 64014)

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Provider's Procedures

MR. MARK R DITZENBERGER (D.C.) performs procedures in CHIROPRACTIC. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICMO98940Chiropractic manipulative treatment, 1-2 spinal regions17532

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: 8426041526View full group profile
NameSpecialtyState
C H I R O P R A C T I CKS

Reviews

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Frequently asked questions

Is there an official ID for MR. MARK R DITZENBERGER (D.C.) in U.S. healthcare records?
The official identifier for MR. MARK R DITZENBERGER (D.C.) is NPI 1508894692.
Would MR. MARK R DITZENBERGER (D.C.) appear as active to a payer?
You can treat MR. MARK R DITZENBERGER (D.C.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MR. MARK R DITZENBERGER (D.C.)?
MR. MARK R DITZENBERGER (D.C.)'s record emphasizes Chiropractor. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. MARK R DITZENBERGER (D.C.)?
Directory geography for MR. MARK R DITZENBERGER (D.C.) centers on Blue Springs, Missouri.
Can I trust this NPI listing for MR. MARK R DITZENBERGER (D.C.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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