SAMUEL J. JR. GUNDERMAN (D.C.) – Chiropractor, NPI 1205940673

SAMUEL J. JR. GUNDERMAN (D.C.) is a healthcare provider. based in Yorktown, Virginia. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 0104000549 (VA). The NPI Number for SAMUEL J. JR. GUNDERMAN (D.C.) is 1205940673

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL J. JR. GUNDERMAN (D.C.)
NPI
1205940673
Phone
(757) 874-5666
Address
PO BOX 982
Enumeration Date
19 August 2006
Last Update Date
1 April 2013

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE
Secondary Phone
7578745666121
Graduation Year
1984 (42 years ago)
PAC ID
0143268524
Group Practice PAC ID
5890940985
Professional Enrollment ID
I20050531000502
Address ID
VA236922773YO5701XHWYX500
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

801 CHIROPRACTIC in VA

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Provider Addresses for SAMUEL J. JR. GUNDERMAN (D.C.)

  • PO BOX 982

    YORKTOWN, VA 236920982

    Phone: (757) 874-5666

    Fax: (757) 874-8625

    Type: Mailing

  • George Washington Memorial Highway, Yorktown, York County, Virginia, 23690, United States

    YORKTOWN, VA 236922773

    Phone: (757) 874-5666

    Fax: (757) 874-8625

    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: 2005-05-31

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
I20050531000502IChiropracticVATBD

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 regions2,034285$0
View full utilization report →

Insurance plans in this area (ZIP 23692)

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Provider's Procedures

SAMUEL J. JR. GUNDERMAN (D.C.) performs procedures in CHIROPRACTIC. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICVA98940Chiropractic manipulative treatment, 1-2 spinal regions5911
CHIROPRACTICVA98942Chiropractic manipulative treatment, 5 spinal regions482144

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: 5890940985View full group profile
NameSpecialtyState
C H I R O P R A C T I CVA
C H I R O P R A C T I CVA

Reviews

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Frequently asked questions

How do payers reference SAMUEL J. JR. GUNDERMAN (D.C.)?
For SAMUEL J. JR. GUNDERMAN (D.C.), use NPI 1205940673 as the unique 10-digit identifier.
Active or inactive — what applies to SAMUEL J. JR. GUNDERMAN (D.C.)?
You should see SAMUEL J. JR. GUNDERMAN (D.C.) as active in CMS-hosted NPPES data.
What area of care is associated with SAMUEL J. JR. GUNDERMAN (D.C.)?
SAMUEL J. JR. GUNDERMAN (D.C.)'s record emphasizes Chiropractor. Clinical services aligned with this taxonomy classification.
Is SAMUEL J. JR. GUNDERMAN (D.C.) located near Yorktown?
SAMUEL J. JR. GUNDERMAN (D.C.) currently maps to Yorktown, Virginia in this extract.
When was this NPI issued?
Enumeration for SAMUEL J. JR. GUNDERMAN (D.C.) is noted as August 19, 2006 where the registry provides it.

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