KELLY J. ROUSH ICENHOWER (DC) – Chiropractor, NPI 1629018320
Chiropractor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,413 CHIROPRACTIC in OH
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Provider Addresses for KELLY J. ROUSH ICENHOWER (DC)
1051, 4th Avenue, Gallipolis, Gallia County, Ohio, 45631, United States
GALLIPOLIS, OH 456311612
Phone: (740) 446-5244
Fax: (740) 446-5565
Type: Location
90 JACKSON PIKE
GALLIPOLIS, OH 456311560
Phone: (740) 446-5244
Fax: (740) 446-5565
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.
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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: 2010-02-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070802000213 | I | Chiropractic | OH | TBD |
| I20100217000391 | I | Chiropractic | WV | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 98940 | Chiropractic manipulative treatment, 1-2 spinal regions | 146 | 25 | $0 |
| 98941 | Chiropractic manipulative treatment, 3-4 spinal regions | 59 | 13 | $0 |
Insurance plans in this area (ZIP 45631)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | KY | |
| - | OH | |
| Internal Medicine | WV | |
| Internal Medicine | OH | |
| - | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| - | OH |
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