DR. JARED WILSON (D.C.) – Sports Physician Chiropractor, NPI 1104059104
Sports Physician Chiropractor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JARED WILSON (D.C.)
498 Harlow Rd Ste 3
Springfield, OR 974771339
Phone: (541) 341-1414
Fax: (541) 653-8570
Type: Location
1150 E ELDORADO PKWY STE 300
LITTLE ELM, TX 750685504
Phone: (972) 292-9863
Fax: (972) 292-9861
Type: Location
Harlow Road, Springfield, Lane County, Oregon, 97475, United States
SPRINGFIELD, OR 974771339
Phone: (541) 341-1414
Fax: (541) 653-8570
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.
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: 2009-12-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091215000127 | I | Chiropractic | OR | 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 |
|---|---|---|---|---|
| 98941 | Chiropractic manipulative treatment, 3-4 spinal regions | 171 | 21 | $0 |
Insurance plans in this area (ZIP 97477)
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