Cody Lee Kruckenberg, D.C.
NPI 1790175388ActiveIndividual· Chiropractor· Brandon, SD
Chiropractor (D.C.) in Brandon, South Dakota, trained at Northwestern College of Chiropractic (class of 2013). Medicare paid $9,476 for services to 53 patients in 2024.
Overview
| NPI | 1790175388 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.C. |
| Sole proprietor | Yes |
| NPI issued | Feb 3, 2015 |
| Last updated in NPPES | May 16, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 1333 | SD |
| Chiropractor | 111N00000X | 600 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 53 |
|---|---|
| Services billed | 363 across 2 procedure codes |
| Paid by Medicare | $9,476 |
Education and affiliations
| Medical school | Northwestern College of Chiropractic |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Chiropractic |
Medical group
- Fit for Life Chiropractic LLCBrandon, SD · 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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