DR. DEREK PATRICK KACZOR D.C
NPI 1124577234
Chiropractor in Monroe, MI

Active since September 30, 2016Accepts Medicare Assignment
15175 S DIXIE HWY STE A, MONROE, MI 48161(734) 244-4285 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2019, Sep 30, 2016 (2 updates tracked since 2016).

About Dr. Derek Patrick Kaczor D.c NPPES

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

DR. DEREK PATRICK KACZOR D.C (NPI 1124577234) is an individual chiropractor in Monroe, Michigan, licensed in Michigan (2301010482) and active in the NPI registry since September 2016. He is a graduate of Other (2016).

NPPES Registry Identity

NPI1124577234
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DEREK PATRICK KACZORCredential: D.C
Location Address15175 S DIXIE HWY STE AMonroe, MI 48161-5038
Mailing Address481 Pin Oak CtMonroe, MI 48162-3391 · (470) 262-3107
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 30, 2016
Last NPPES UpdateNovember 13, 20192 updates tracked since enumeration
NPI 1124577234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MI · 2301010482
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.
15175 S DIXIE HWY STE A, Monroe, MI 48161

Other Identifiers 1

MedicaidOP029240MI

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

Dr. Derek Patrick Kaczor 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 ID5698063808
PECOS Enrollment IDI20190503001921

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.
264 services18 patients

Other Providers at the Same Location NPPES 2

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

Social Worker
15175 S DIXIE HWY STE A
MONROE, MI 48161
Clinic/Center (Mental Health (Including Community Mental Health Center))
15175 S DIXIE HWY STE A
MONROE, MI 48161

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 Derek Kaczor's NPI number?

The NPI number for Derek Kaczor is 1124577234. It was assigned to this individual provider in the NPPES registry on September 30, 2016.

Where is Derek Kaczor located?

Derek Kaczor practices at 15175 S Dixie Hwy Ste A, Monroe, MI 48161. The listed phone number is (734) 244-4285.

What is Derek Kaczor's specialty?

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

Is Derek Kaczor enrolled in Medicare?

Yes. Derek Kaczor 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 Derek Kaczor accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health, Providence Health Plan and UnitedHealthcare list Derek Kaczor 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 Derek Kaczor was last updated on November 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.