1. Home
  2. Directory
  3. Missouri
  4. Poplar Bluff
  5. Chiropractor
  6. NPI Profile

DR. JACK DOUGLAS RUSHIN D.C.
NPI 1093899940
Chiropractor in Poplar Bluff, MO

Active since October 25, 2006Accepts Medicare Assignment
400 S 11TH ST, POPLAR BLUFF, MO 63901(573) 785-5666 Get Directions Write a Review

NPPES record last updated: January 9, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Jack Douglas Rushin D.c. NPPES

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

DR. JACK DOUGLAS RUSHIN D.C. (NPI 1093899940) is an individual chiropractor in Poplar Bluff, Missouri, licensed in Missouri (004561) and active in the NPI registry since October 2006. He is a graduate of Life Chiropractic College - West (1980).

NPPES Registry Identity

NPI1093899940
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACK DOUGLAS RUSHINCredential: D.C.
Location Address400 S 11TH STPoplar Bluff, MO 63901-5508
Mailing Address400 S 11th StPoplar Bluff, MO 63901-5508 · (573) 785-5666
Phone(573) 785-5666
Sole ProprietorYes
Medical School CMSLife Chiropractic College - WestGraduated 1980
Enumeration DateOctober 25, 2006
Last NPPES UpdateJanuary 9, 2012
✔ NPI 1093899940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 004561
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.
400 S 11TH ST, Poplar Bluff, MO 63901
Open in Google Maps ↗

Other Identifiers 4

Medicare UPIN02895MO
Medicare ID-Type Unspecified000031266MO
Medicaid752079806MO
Medicare ID-Type Unspecified000013961MO

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 and accepts Medicare assignment

Dr. Jack Douglas Rushin D.c. 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 ID4385738509
PECOS Enrollment IDI20070919000525

Medicare Billing Reassignment

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

Cleous Chiropractic LLC
0.1 mi
Chiropractor
400 S 11TH ST
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 2 clinicians in this Medicare group
NPI 1124899497 (573) 785-5666

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 3

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.
418 services70 patients
Chiropractic manipulative treatment, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
161 services31 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
77 services15 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
94%1,124 patients4/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
1%670 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
99%670 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
19%607 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 11% · 394 patients
Patients tobacco: 0% · 394 patients
2%43 patients1/55-star benchmark: 98%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
68%670 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
99%670 patients5/55-star benchmark: 75%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
3%670 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLEOUS CHIROPRACTIC LLC
Chiropractor
400 S 11TH ST
POPLAR BLUFF, MO 63901
Butler County (573) 785-5666
RYAN CLEOUS DC
Chiropractor
400 S 11TH ST
POPLAR BLUFF, MO 63901
Butler County (573) 785-5666
RUSHIN CHIROPRACTIC PC
Chiropractor
400 S 11TH ST
POPLAR BLUFF, MO 63901
Butler County (573) 785-5566

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 Rushin's NPI number?

The NPI number for Jack Rushin is 1093899940. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Jack Rushin located?

Jack Rushin practices at 400 S 11th St, Poplar Bluff, MO 63901. The listed phone number is (573) 785-5666.

What is Jack Rushin's specialty?

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

Is Jack Rushin enrolled in Medicare?

Yes. Jack Rushin 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 Rushin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Rushin reassigns Medicare benefits to Cleous Chiropractic LLC (Poplar Bluff, 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 Jack Rushin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Rushin accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 3 other insurers list Jack Rushin 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 Rushin was last updated on January 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.