TY ANDREW FODOR
NPI 1104506559
Chiropractor in Sunnyside, WA

Active since July 20, 2023Accepts Medicare Assignment
1724 WESLEY WAY, SUNNYSIDE, WA 98944(509) 839-8000 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ty Andrew Fodor NPPES

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

TY ANDREW FODOR (NPI 1104506559) is an individual chiropractor in Sunnyside, Washington, licensed in Washington (CH61465595) and active in the NPI registry since July 2023. He is a graduate of Palmer College Chiropractic - Davenport (2023).

NPPES Registry Identity

NPI1104506559
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameTY ANDREW FODOR
Location Address1724 WESLEY WAYSunnyside, WA 98944-6001
Mailing Address1724 Wesley WaySunnyside, WA 98944-6001 · (509) 839-8000
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2023
Enumeration DateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
NPI 1104506559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WA · CH61465595
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.

1724 WESLEY WAY, Sunnyside, WA 98944

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ty Andrew Fodor 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 ID3173986536
PECOS Enrollment IDI20230831004537

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, 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.
79 services20 patients

Other Providers at the Same Location NPPES 5

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

Chiropractor
1724 WESLEY WAY
SUNNYSIDE, WA 98944
Chiropractor
1724 WESLEY WAY
SUNNYSIDE, WA 98944
Chiropractor
1724 WESLEY WAY
SUNNYSIDE, WA 98944
Massage Therapist
1724 WESLEY WAY
SUNNYSIDE, WA 98944
Massage Therapist
1724 WESLEY WAY
SUNNYSIDE, WA 98944

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 Ty Fodor's NPI number?

The NPI number for Ty Fodor is 1104506559. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Where is Ty Fodor located?

Ty Fodor practices at 1724 Wesley Way, Sunnyside, WA 98944. The listed phone number is (509) 839-8000.

What is Ty Fodor's specialty?

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

Is Ty Fodor enrolled in Medicare?

Yes. Ty Fodor 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.

What insurance does Ty Fodor accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Ty Fodor 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 Ty Fodor was last updated on July 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.