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

DR. SCOTT THEODOR GODBERSEN DC
NPI 1215940440
Chiropractor in Neosho, MO

Active since August 15, 2006Accepts Medicare Assignment
1400 WALDO HALTER MEM DR, NEOSHO, MO 64850(417) 455-1025(417) 455-2273 Get Directions Write a Review

NPPES record last updated: April 6, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Scott Theodor Godbersen Dc NPPES

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

DR. SCOTT THEODOR GODBERSEN DC (NPI 1215940440) is an individual chiropractor in Neosho, Missouri, licensed in Missouri (2008015775) and active in the NPI registry since August 2006. He is a graduate of Northwestern College Of Chiropractic (2006).

NPPES Registry Identity

NPI1215940440
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SCOTT THEODOR GODBERSENCredential: DC
Location Address1400 WALDO HALTER MEM DRNeosho, MO 64850-2034
Mailing Address1400 Waldo Halter Mem Dr, Po Box 355Neosho, MO 64850-2034 · (417) 455-1025 · Fax (417) 455-2273
Phone(417) 455-1025
Fax(417) 455-2273
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2006
Enumeration DateAugust 15, 2006
Last NPPES UpdateApril 6, 2015
✔ NPI 1215940440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in MO · 2008015775✔ Licensed in MN · 4833✔ Licensed in OK · 3847
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.
1400 WALDO HALTER MEM DR, Neosho, MO 64850
Open in Google Maps ↗

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. Scott Theodor Godbersen Dc 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 ID3476556911
PECOS Enrollment IDI20080626000144

Medicare Billing Reassignment

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

1st Choice Chiropractic Center PC
Same address
Chiropractor
1400 WALDO HALTER MEM DR
Neosho, MO 64850
  • Reassigned Medicare billing, Missouri enrollment
NPI 1477742732 (417) 455-1025

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 2

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.
367 services27 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.
293 services35 patients

Other Providers at the Same Location NPPES

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

1ST CHOICE CHIROPRACTIC CENTER PC
Chiropractor
1400 WALDO HALTER MEM DR
NEOSHO, MO 64850
Newton County (417) 455-1025

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 Scott Godbersen's NPI number?

The NPI number for Scott Godbersen is 1215940440. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Scott Godbersen located?

Scott Godbersen practices at 1400 Waldo Halter Mem Dr, Neosho, MO 64850. The listed phone number is (417) 455-1025.

What is Scott Godbersen's specialty?

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

Is Scott Godbersen enrolled in Medicare?

Yes. Scott Godbersen 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 Scott Godbersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Godbersen reassigns Medicare benefits to 1st Choice Chiropractic Center PC (Neosho, 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 Scott Godbersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Godbersen 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 4 other insurers list Scott Godbersen 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 Scott Godbersen was last updated on April 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.