DR. EVAN WILLOW (DC) – Chiropractor, NPI 1083327951

DR. EVAN WILLOW (DC) is a healthcare provider. based in Prineville, Oregon. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 6280 (OR). The NPI Number for DR. EVAN WILLOW (DC) is 1083327951

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. EVAN WILLOW (DC)
NPI
1083327951
Phone
(541) 447-6627
Address
240 NW CLAYPOOL ST
Enumeration Date
5 January 2023
Last Update Date
5 January 2023

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Secondary Phone
5414476627
Graduation Year
2022 (4 years ago)
PAC ID
9436524923
Group Practice PAC ID
1557716180
Professional Enrollment ID
I20230414002054
Address ID
OR977541842PR240XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

709 CHIROPRACTIC in OR

Provider Addresses for DR. EVAN WILLOW (DC)

  • 240 NW CLAYPOOL ST

    PRINEVILLE, OR 977541842

    Phone: (541) 447-6627

    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: 2023-04-14

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
I20230414002054IChiropracticORTBD

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 regions11029$0
View full utilization report →

Insurance plans in this area (ZIP 97754)

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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: 1557716180View full group profile
NameSpecialtyState
C H I R O P R A C T I CSD

Reviews

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Frequently asked questions

What federal number belongs to DR. EVAN WILLOW (DC)?
The federal identifier for DR. EVAN WILLOW (DC) is NPI 1083327951.
Is DR. EVAN WILLOW (DC)'s NPI currently valid?
The extract we use shows DR. EVAN WILLOW (DC) as active.
What does DR. EVAN WILLOW (DC) treat or focus on?
Patients typically see DR. EVAN WILLOW (DC) under the specialty Chiropractor. Clinical services aligned with this taxonomy classification.
Where is DR. EVAN WILLOW (DC)'s primary listing?
We display Prineville, Oregon because that is what the record indicates for DR. EVAN WILLOW (DC).
What if Prineville, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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