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DR. MICHAEL JOHN RICCOBONI DC
NPI 1013998848
Chiropractor in Clemmons, NC

Active since November 09, 2005
6774 RIVER CENTER DRIVE, CLEMMONS, NC 27012(336) 766-5935(336) 766-5365 Get Directions Write a Review

NPPES record last updated: November 10, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Michael John Riccoboni Dc NPPES

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

DR. MICHAEL JOHN RICCOBONI DC (NPI 1013998848) is an individual chiropractor in Clemmons, North Carolina, licensed in North Carolina (3062) and active in the NPI registry since November 2005. He is a graduate of Other (2002).

NPPES Registry Identity

NPI1013998848
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MICHAEL JOHN RICCOBONICredential: DC
Location Address6774 RIVER CENTER DRIVEClemmons, NC 27012-8999
Mailing Address6774 River Center DriveClemmons, NC 27012-8999 · (336) 766-5935 · Fax (336) 766-5365
Phone(336) 766-5935
Fax(336) 766-5365
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 9, 2005
Last NPPES UpdateNovember 10, 2011
✔ NPI 1013998848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 3062
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.
6774 RIVER CENTER DRIVE, Clemmons, NC 27012
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Other Identifiers 7

Other648441Acn Provider Number
Medicare UPINU95430
Medicare ID-Type Unspecified2334062Clinic Number
Other085HMNC · Bluecross/blue Shield Num
Medicaid89085HMNC
Medicare ID-Type Unspecified2456520Individual # To Clinic
Other41-2094316All Other Networks

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael John Riccoboni Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557267275
PECOS Enrollment IDI20031215000691

Medicare Billing Reassignment

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

Clemmons Village Chiropractic PLLC
2.1 mi
Chiropractor
2235 LEWISVILLE CLEMMONS RD, SUITE B
Clemmons, NC 27012
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1760559215 (336) 766-5935

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.
443 services41 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 Michael Riccoboni's NPI number?

The NPI number for Michael Riccoboni is 1013998848. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Michael Riccoboni located?

Michael Riccoboni practices at 6774 River Center Drive, Clemmons, NC 27012. The listed phone number is (336) 766-5935.

What is Michael Riccoboni's specialty?

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

Is Michael Riccoboni enrolled in Medicare?

Yes. Michael Riccoboni is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Riccoboni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Riccoboni reassigns Medicare benefits to Clemmons Village Chiropractic PLLC (Clemmons, NC). 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 Michael Riccoboni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Riccoboni accept?

Health plans from UnitedHealthcare list Michael Riccoboni 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 Michael Riccoboni was last updated on November 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.