Richard Kim Etheredge, DC
NPI 1780795294ActiveIndividual· Chiropractor· Fruitland Park, FL
Chiropractor (DC) in Fruitland Park, Florida, trained at Palmer College Chiropractic - Davenport (class of 1987). Medicare paid $54,497 for services to 296 patients in 2024.
Overview
| NPI | 1780795294 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DC |
| Sole proprietor | No |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Feb 16, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | CH5758 | FL |
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 | No match | — |
| 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) | Enrolled Practitioner - Chiropractic (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 296 |
|---|---|
| Services billed | 2,186 across 2 procedure codes |
| Paid by Medicare | $54,497 |
Education and affiliations
| Medical school | Palmer College Chiropractic - Davenport |
|---|---|
| Graduation year | 1987 |
| Medicare specialty | Chiropractic |
Medical group
- Etheredge Chiropractic PAFruitland Park, FL · 2 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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