Paul David Ravener, D.C.
NPI 1104916998ActiveIndividual· Chiropractor· Port Jefferson Station, NY
Chiropractor (D.C.) in Port Jefferson Station, New York, licensed in NY, with an NPI issued in October 2006. Medicare paid $3,188 for services to 13 patients in 2024.
Overview
| NPI | 1104916998 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.C. |
| Sole proprietor | Yes |
| NPI issued | Oct 13, 2006 |
| Last updated in NPPES | Oct 6, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 3502 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | Listed (NPI) | Excluded · since Aug 1, 2013 · NY |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 168 across 1 procedure code |
| Paid by Medicare | $3,188 |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 16 chiropractors in Port Jefferson Station · All chiropractors in New York