Jeffery Michael Deatherage, D.C.
NPI 1962784595ActiveIndividual· Chiropractor, Rehabilitation· Rancho Mirage, CA
Chiropractor, Rehabilitation (D.C.) in Rancho Mirage, California, trained at Life Chiropractic College (class of 2011). Enrolled in Medicare as practitioner - chiropractic.
Overview
| NPI | 1962784595 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.C. |
| Sole proprietor | Yes |
| NPI issued | Sep 9, 2011 |
| Last updated in NPPES | Mar 4, 2026 |
| Certified by provider | Mar 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Rehabilitation Primary | 111NR0400X | 16116 | TX |
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 (CA) |
|---|
Education and affiliations
| Medical school | Life Chiropractic College |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Chiropractic |
Medical group
- Tobias Moeller-Bertram MD CorporationPalm Springs, CA · 68 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records