Dr. Lance Allen Iguess , DC
Chiropractor • Houston, TX
2000 Crawford St, Suite 1220
Houston, TX 770029000
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on March 6, 2012; this date does not establish years in practice.
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Published CMS data list 63 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- 98942 — Chiropractic manipulative treatment, 5 spinal regions: 63 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Medicare Part B services went from 182 in 2019 to 63 in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019–2022.
Practice Location & Contact Primary Location
2000 Crawford St
Suite 1220
Houston, TX 770029000
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Spine And Rehab Affiliates Pllc; Vanguard Spine And Sport Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2011
What Public CMS Data Show
Chiropractor: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $3,377 in 2022
The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022.
Paid by Medicare
About $2,467 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022.
Open Payments general payments, program year 2025
All general payments: $520.79 across 10 records.
By nature of payment
- Food and Beverage: $520.79 across 10 records.
Reporting-company totals
- Medtronic, Inc.: $376.83 across 4 records.
- Abbott Laboratories: $143.96 across 6 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
15 years (graduated 2011)
CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2012
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, “Does your provider accept Medicare as full payment?”
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.
Enrolled in Medicare (PECOS)
Dr. Iguess 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.
Compared with the same specialty in Houston and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Iguess are from 2022.
752 active clinicians are listed under Chiropractor with a practice address in Houston, TX (6,982 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Houston
0% of these 752 clinicians have the CMS telehealth indicator.
9.4% of these 752 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 65% from 182 in 2019 to 63 in 2022.
- 2019: 182
- 2020: 211
- 2021: 180
- 2022: 63
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Medicare-allowed amount
Medicare-allowed amount decreased 56% from $7,608 in 2019 to $3,377 in 2022.
- 2019: $7,608
- 2020: $10,051
- 2021: $8,613
- 2022: $3,377
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Paid by Medicare
Paid by Medicare decreased 58% from $5,880 in 2019 to $2,467 in 2022.
- 2019: $5,880
- 2020: $7,683
- 2021: $6,611
- 2022: $2,467
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $34.39 in 2020 to $520.79 in 2025.
- 2020: $34.39
- 2021: $12.57
- 2022: $184.12
- 2023: $25.40
- 2025: $520.79
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $520.79.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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INTELLIS ADAPTIVESTIM | General | $140.33 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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INTELLIS ADAPTIVESTIM | General | $130.18 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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ETERNA | General | $66.30 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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INTELLIS ADAPTIVESTIM | General | $58.49 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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INTELLIS ADAPTIVESTIM | General | $47.83 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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ETERNA | General | $36.67 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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ETERNA | General | $11.33 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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OCTRODE | General | $11.06 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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ETERNA | General | $9.38 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
ETERNA | General | $9.22 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2021 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2019–2022; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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98942
Chiropractic manipulative treatment, 5 spinal regions
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63 | 28 | $110.00 | $53.61 |
Source: CMS Part B by Provider and Service, 2022; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 111N00000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - CHIROPRACTIC
I20141218002250
TX
1355664541
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Spine And Rehab Affiliates Pllc
3101 College Park Dr, The Woodlands, TX 773844099
Phone: 2813620006
Vanguard Spine And Sport Pllc
8800 Katy Fwy, Houston, TX 770241645
Phone: 8328318656
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physical Therapist
Doctor of Physical Therapy
Career & Practice History
NPI enumerated March 06, 2012.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Chiropractors in Houston
- Dr. Leo Grim, DC
- Dr. Kenneth Regner, DC
- Dr. Philip Cordova, DC
- Dr. Braden Mckechnie, DC
- Dr. Kathryn Larson, DC
- Dr. Juliana Mckechnie, DC
Mailing Address
2000 Crawford St, Suite 1220
Houston, TX 770029000
Phone: 7136524052