DR. MICHAEL JAY VISSERS (D.C.) – Chiropractor, NPI 1093843302

DR. MICHAEL JAY VISSERS (D.C.) is a healthcare provider. based in Canby, Oregon. specializing in Chiropractor. They hold the professional credentials D.C.. They hold a License No. 27-3072 (OR). The NPI Number for DR. MICHAEL JAY VISSERS (D.C.) is 1093843302

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL JAY VISSERS (D.C.)
NPI
1093843302
Phone
(503) 263-8053
Address
2030 N VINE ST
Enumeration Date
28 February 2007
Last Update Date
28 September 2007

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
5032633033
Graduation Year
1989 (37 years ago)
PAC ID
1153518774
Group Practice PAC ID
1052508660
Professional Enrollment ID
I20101209000083
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

Provider Addresses for DR. MICHAEL JAY VISSERS (D.C.)

  • 2030 N VINE ST

    CANBY, OR 970132571

    Phone: (503) 263-8053

    Type: Mailing

  • 130 SW 2ND AVE STE 101

    CANBY, OR 970134156

    Phone: (503) 263-3033

    Fax: (503) 263-3023

    Type: Location

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: 2010-12-09

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
I20101209000083IChiropracticORTBD

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 regions9418$0
View full utilization report →

Insurance plans in this area (ZIP 97013)

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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: 1052508660View full group profile
NameSpecialtyState
C H I R O P R A C T I COR
C H I R O P R A C T I CCA
C H I R O P R A C T I COR
C H I R O P R A C T I COR

Reviews

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Frequently asked questions

What number should I use to identify DR. MICHAEL JAY VISSERS (D.C.) for billing?
Administrative and clinical systems typically use NPI 1093843302 for DR. MICHAEL JAY VISSERS (D.C.).
Is DR. MICHAEL JAY VISSERS (D.C.) currently accepting referrals based on NPI status?
Registry metadata lists DR. MICHAEL JAY VISSERS (D.C.) as active.
What does the directory say DR. MICHAEL JAY VISSERS (D.C.) does?
Insurance directories may phrase it differently, but here DR. MICHAEL JAY VISSERS (D.C.) maps to Chiropractor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MICHAEL JAY VISSERS (D.C.)?
DR. MICHAEL JAY VISSERS (D.C.) is associated with Canby, Oregon in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.