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DR. FRED DAVID FELDEWERTH D.C.
NPI 1063595627
Chiropractor in O Fallon, MO

Active since October 24, 2006
202 S MAIN ST, O FALLON, MO 63366(636) 978-7700(636) 978-7700 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Fred David Feldewerth D.c. NPPES

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

DR. FRED DAVID FELDEWERTH D.C. (NPI 1063595627) is an individual chiropractor in O Fallon, Missouri, licensed in Missouri (006459) and active in the NPI registry since October 2006. He is a graduate of Other (1996).

NPPES Registry Identity

NPI1063595627
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. FRED DAVID FELDEWERTHCredential: D.C.
Location Address202 S MAIN STO Fallon, MO 63366-2805
Mailing Address2130 Chickadee CtO Fallon, MO 63366-4541 · (636) 332-2097
Phone(636) 978-7700
Fax(636) 978-7700
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 24, 2006
Last NPPES UpdateDecember 5, 2018
✔ NPI 1063595627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 006459
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.
202 S MAIN ST, O Fallon, MO 63366
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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. Fred David Feldewerth D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527078229
PECOS Enrollment IDI20060426000006

Medicare Billing Reassignment

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

Feldewerth Chiropractic Inc
Same address
Chiropractor
207 S MAIN ST
O Fallon, MO 63366
  • Reassigned Medicare billing, Missouri enrollment
NPI 1043517162 (636) 978-7700

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.
445 services64 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 Fred Feldewerth's NPI number?

The NPI number for Fred Feldewerth is 1063595627. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Fred Feldewerth located?

Fred Feldewerth practices at 202 S Main St, O Fallon, MO 63366. The listed phone number is (636) 978-7700.

What is Fred Feldewerth's specialty?

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

Is Fred Feldewerth enrolled in Medicare?

Yes. Fred Feldewerth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fred Feldewerth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fred Feldewerth reassigns Medicare benefits to Feldewerth Chiropractic Inc (O Fallon, MO). 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 Fred Feldewerth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fred Feldewerth accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Fred Feldewerth 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 Fred Feldewerth was last updated on December 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.