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Dr. Derrick Bark , DC, ATC

Chiropractor β€’ Ballwin, MO

Active NPI 1194277582 Individual Practitioner Male Practitioner
Practice location in NPPES

344 Woodgreen Dr
Ballwin, MO 630115031

Call 9375707110 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

344 Woodgreen Dr

Ballwin, MO 630115031

Telephone 9375707110

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Bark has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Ballwin and Missouri

39 active clinicians are listed under Chiropractor with a practice address in Ballwin, MO (2,538 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Ballwin

0% of these 39 clinicians have the CMS telehealth indicator.

28.2% of these 39 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-12-11
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES MO 2023000539

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20240307001906

Enrollment State Jurisdiction

MO

PECOS Control ID

8325484702

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location January 09, 2023

Registered at 344 WOODGREEN DR, BALLWIN, MO 630115031 (Tel: 9375707110)

πŸ“
Updated Business Mailing Address January 09, 2023

Registered at 344 WOODGREEN DR, BALLWIN, MO 630115031 (Tel: 9375707110)

πŸ‘€
Provider Name / Credentials Updated January 09, 2023

Recorded as DERRICK BARK, DC, ATC

πŸ“
Updated Practice Location July 02, 2018

Registered at 85 OLD YELLOW SPRINGS RD, FAIRBORN, OH 45324 (Tel: 9375707110)

βœ…
NPI Profile Active November 01, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 01, 2016

Registered at 85 OLD YELLOW SPRINGS RD, FAIRBORN, OH 453248415 (Tel: 9375707110)

πŸ“
Business Mailing Address (Initial Record) November 01, 2016

Registered at 85 OLD YELLOW SPRINGS RD, FAIRBORN, OH 453248415 (Tel: 9375707110)

πŸ‘€
Provider Name / Credentials (Initial Record) November 01, 2016

Recorded as DERRICK BARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2016

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration November 01, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194277582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2016
Last Update: January 09, 2023
Sole Proprietor: Yes

Other Chiropractors in Ballwin

All Chiropractors in Ballwin

Mailing Address

344 Woodgreen Dr

Ballwin, MO 630115031

Phone: 9375707110

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.