DR. DALE R MARCUM (DC) – Chiropractor, NPI 1952479867

DR. DALE R MARCUM (DC) is a healthcare provider. based in Portland, Oregon. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 273409 (OR). The NPI Number for DR. DALE R MARCUM (DC) is 1952479867

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. DALE R MARCUM (DC)
NPI
1952479867
Phone
(503) 235-7130
Address
12425 NE GLISAN ST STE B
Enumeration Date
30 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WESTERN STATES COLLEGE OF CHIROPRACTIC
Secondary Phone
5036547400
Graduation Year
2002 (24 years ago)
PAC ID
9436662228
Group Practice PAC ID
6204078033
Professional Enrollment ID
I20250703001803
Address ID
OR972221613MI4370XRDXX401
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

709 CHIROPRACTIC in OR

Provider Addresses for DR. DALE R MARCUM (DC)

  • 12425 NE GLISAN ST STE B

    PORTLAND, OR 972302144

    Phone: (503) 235-7130

    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: 2025-07-03

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
I20250703001803IChiropracticORTBD

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 97230)

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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: 6204078033View full group profile
NameSpecialtyState
Chiropractic, Physical Medicine And Rehabilitation, Sports MedicineOR

Reviews

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Frequently asked questions

How do I look up DR. DALE R MARCUM (DC) by NPI?
Use NPI 1952479867 when you need to reference DR. DALE R MARCUM (DC) in forms, claims, or directories.
Is DR. DALE R MARCUM (DC) currently active in the NPI registry?
CMS-published data lists DR. DALE R MARCUM (DC) as an active registrant.
What kind of provider is DR. DALE R MARCUM (DC)?
The page reflects Chiropractor for DR. DALE R MARCUM (DC). Clinical services aligned with this taxonomy classification.
Where is DR. DALE R MARCUM (DC)'s primary listing?
We display Portland, Oregon because that is what the record indicates for DR. DALE R MARCUM (DC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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