Dr. Sean Patrick Skinner , DC
Chiropractor • Roanoke, VA
4370 Starkey Rd., Ste 2
Roanoke, VA 24018
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 June 24, 2008; this date does not establish years in practice.
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Published CMS data list 1,117 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 98941 — Chiropractic manipulative treatment, 3-4 spinal regions: 641 service units.
- 98940 — Chiropractic manipulative treatment, 1-2 spinal regions: 476 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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More Medicare Part B services than 85% of clinicians listed under Chiropractor in Roanoke, VA (2024, 20 clinicians with data). Median for this group: 583. Middle half: 313 to 831.
More Medicare Part B services than 80% of clinicians listed under Chiropractor in Virginia (2024, 579 clinicians with data). Median for this group: 458. Middle half: 233 to 844.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 594 in 2020 to 1,117 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
4370 Starkey Rd.
Ste 2
Roanoke, VA 24018
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 1 group name: Adjust Nrv 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
New York Chiropractic College
2008
What Public CMS Data Show
Chiropractor: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
75 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $37,239 in 2024
The total amount Medicare approved for these services in 2024. 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, 2024.
Paid by Medicare
About $25,749 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
Years since graduation
18 years (graduated 2008)
CMS Doctors and Clinicians data list 2008 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
2008
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. Skinner 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 Roanoke and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 85% of clinicians listed under Chiropractor in Roanoke, VA (2024, 20 clinicians with data). Median for this group: 583. Middle half: 313 to 831.
More Medicare Part B services than 80% of clinicians listed under Chiropractor in Virginia (2024, 579 clinicians with data). Median for this group: 458. Middle half: 233 to 844.
Medicare-allowed amount
A higher Medicare-allowed amount than 85% of clinicians listed under Chiropractor in Roanoke, VA (2024, 20 clinicians with data). Median for this group: $21,407. Middle half: $12,654 to $30,618.
A higher Medicare-allowed amount than 80% of clinicians listed under Chiropractor in Virginia (2024, 579 clinicians with data). Median for this group: $17,147. Middle half: $8,801 to $31,303.
Paid by Medicare
A higher Medicare payment amount than 85% of clinicians listed under Chiropractor in Roanoke, VA (2024, 20 clinicians with data). Median for this group: $15,117. Middle half: $9,312 to $22,157.
A higher Medicare payment amount than 75% of clinicians listed under Chiropractor in Virginia (2024, 579 clinicians with data). Median for this group: $11,932. Middle half: $6,311 to $22,664.
49 active clinicians are listed under Chiropractor with a practice address in Roanoke, VA (1,566 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Roanoke
0% of these 49 clinicians have the CMS telehealth indicator.
40.8% of these 49 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 increased 88% from 594 in 2020 to 1,117 in 2024.
- 2020: 594
- 2021: 684
- 2022: 960
- 2023: 1,052
- 2024: 1,117
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Medicare-allowed amount
Medicare-allowed amount increased 77% from $21,075 in 2020 to $37,239 in 2024.
- 2020: $21,075
- 2021: $24,007
- 2022: $34,236
- 2023: $35,963
- 2024: $37,239
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Paid by Medicare
Paid by Medicare increased 71% from $15,064 in 2020 to $25,749 in 2024.
- 2020: $15,064
- 2021: $17,249
- 2022: $25,677
- 2023: $25,678
- 2024: $25,749
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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, 2017–2024; 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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98941
Chiropractic manipulative treatment, 3-4 spinal regions
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641 | 46 | $55.00 | $38.35 |
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98940
Chiropractic manipulative treatment, 1-2 spinal regions
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476 | 30 | $55.00 | $26.59 |
Source: CMS Part B by Provider and Service, 2024; 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
Self-certified to NPPES: 2026-05-27NUCC 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.
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.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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
I20090522000057
VA
5991854903
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
Adjust Nrv Pllc
2000 Kraft Dr, Blacksburg, VA 240606839
Phone: 5402252321
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Chiropractor
Doctor of Chiropractic
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4370 STARKEY RD., STE 2, ROANOKE, VA 24018 (Tel: 5403442000)
Registered at 4370 STARKEY RD., STE 2, ROANOKE, VA 24018 (Tel: 5403442000)
Chiropractor (license number reported to NPPES: NY 011636)
NPI status registered as active in NPPES database
Registered at 6206 PETERS CREEK RD, ROANOKE, VA 240194026 (Tel: 5405630334)
Registered at 6206 PETERS CREEK RD, ROANOKE, VA 240194026 (Tel: 5405630334)
Recorded as SEAN SKINNER, D.C.
Chiropractor (license number reported to NPPES: VA 0104556699)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Chiropractors in Roanoke
- Dr. Parker Adams, DC
- Dr. Thomas Baader, DC
- Dr. Bushra Mahmud, DC
- Dr. William Austin, DC
- Dr. Stephen Hussey, DC
- Dr. James Smith, DC
Mailing Address
4370 Starkey Rd., Ste 2
Roanoke, VA 24018
Phone: 5403442000