Russell N. Petersen, D.C
NPI 1164550620ActiveIndividual· Chiropractor· Sheboygan, WI
Chiropractor (D.C) in Sheboygan, Wisconsin, trained at Palmer College Chiropractic - Davenport (class of 2004). Medicare paid $7,214 for services to 27 patients in 2024.
Overview
| NPI | 1164550620 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.C |
| Sole proprietor | No |
| NPI issued | Feb 28, 2007 |
| Last updated in NPPES | Jan 23, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 4058-012 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 250 across 1 procedure code |
| Paid by Medicare | $7,214 |
Education and affiliations
| Medical school | Palmer College Chiropractic - Davenport |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Chiropractic |
Medical group
- Creekside Chiropractic and Rehabilitation LtdSheboygan, WI · 6 clinicians
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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