DR. SCOTT W. PETRALLO (DC) – Chiropractor, NPI 1477641413

DR. SCOTT W. PETRALLO (DC) is a healthcare provider. based in Youngstown, Ohio. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 3292 (OH). The NPI Number for DR. SCOTT W. PETRALLO (DC) is 1477641413

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT W. PETRALLO (DC)
NPI
1477641413
Phone
(330) 793-0711
Address
4241 KIRK RD
Enumeration Date
11 October 2006
Last Update Date
23 May 2016

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE
Secondary Phone
2164445433
Graduation Year
1997 (29 years ago)
PAC ID
3779577572
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20040414000050
Address ID
OH441950001CL9500XAVEX300
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

1,413 CHIROPRACTIC in OH

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Provider Addresses for DR. SCOTT W. PETRALLO (DC)

  • Kirk Road, Garden Estates, Youngstown, Mahoning County, Ohio, 44511, United States

    YOUNGSTOWN, OH 445111839

    Phone: (330) 793-0711

    Fax: (330) 793-9419

    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: 2004-04-14

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
I20040414000050IChiropracticOHTBD

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 44511)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do I look up DR. SCOTT W. PETRALLO (DC) by NPI?
Use NPI 1477641413 when you need to reference DR. SCOTT W. PETRALLO (DC) in forms, claims, or directories.
Is DR. SCOTT W. PETRALLO (DC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. SCOTT W. PETRALLO (DC) treat or focus on?
Patients typically see DR. SCOTT W. PETRALLO (DC) under the specialty Chiropractor. Clinical services aligned with this taxonomy classification.
Where is DR. SCOTT W. PETRALLO (DC)'s primary listing?
We display Youngstown, Ohio because that is what the record indicates for DR. SCOTT W. PETRALLO (DC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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