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DR. JACK RICHARD MARTIN DC
NPI 1003914342
Chiropractor in St Charles, IL

Active since September 20, 2006Accepts Medicare Assignment
1601 EAST MAIN STREET, SUITE 1B, ST CHARLES, IL 60174(630) 377-4955(630) 377-4958 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jack Richard Martin Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK RICHARD MARTIN DC (NPI 1003914342) is an individual chiropractor in St Charles, Illinois and active in the NPI registry since September 2006. He is a graduate of Other (1980).

NPPES Registry Identity

NPI1003914342
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACK RICHARD MARTINCredential: DC
Location Address1601 EAST MAIN STREET, SUITE 1BSt Charles, IL 60174
Mailing Address200 West South Street, Suite 5bElburn, IL 60119 · (630) 661-1026
Phone(630) 377-4955
Fax(630) 377-4958
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 20, 2007
✔ NPI 1003914342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
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.
1601 EAST MAIN STREET, St Charles, IL 60174
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Other Identifiers 3

Other4532187IL · Bc/bs
Medicare PINK07518IL
Medicare UPINT37602IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack Richard Martin Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941280747
PECOS Enrollment IDI20040723000400

Medicare Billing Reassignment

Medicare enrollment records show Jack Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Martin Chiropractic Clinic Ltd
Same address
Chiropractor
1601 E MAIN ST, SUITE B
St Charles, IL 60174
  • Reassigned Medicare billing, Illinois enrollment
NPI 1851580153 (630) 377-4955

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
2,560 services158 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Martin's NPI number?

The NPI number for Jack Martin is 1003914342. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Jack Martin located?

Jack Martin practices at 1601 East Main Street Suite 1B, St Charles, IL 60174. The listed phone number is (630) 377-4955.

What is Jack Martin's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jack Martin enrolled in Medicare?

Yes. Jack Martin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jack Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Martin reassigns Medicare benefits to Martin Chiropractic Clinic Ltd (St Charles, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Martin accept?

Health plans from Providence Health Plan list Jack Martin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Martin was last updated on November 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.