DR. BARRY JOHN KOTHEIMER DC
NPI 1376615955
Chiropractor in Chardon, OH

Q: What is Barry Kotheimer's NPI number?

The NPI number for Barry Kotheimer is 1376615955. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Q: What is Barry Kotheimer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Barry Kotheimer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 15, 2006Accepts Medicare Assignment

102 E PARK ST, CHARDON, OH 44024(440) 286-2225(440) 286-3058 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Barry John Kotheimer Dc NPPES

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

DR. BARRY JOHN KOTHEIMER DC (NPI 1376615955) is an individual chiropractor in Chardon, Ohio, licensed in Ohio (1511) and active in the NPI registry since November 2006. He is a graduate of Other (1989).

NPPES Registry Identity

NPI1376615955

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. BARRY JOHN KOTHEIMERCredential: DC

Location Address102 E PARK STChardon, OH 44024

Mailing Address102 E Park StChardon, OH 44024 · (440) 286-2225 · Fax (440) 286-3058

Phone(440) 286-2225

Fax(440) 286-3058

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateNovember 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1376615955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in OH · 1511

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.

102 E PARK ST, Chardon, OH 44024

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Other Identifiers 2

Medicare ID-Type UnspecifiedK00652622

Medicaid0759479OH

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. Barry John Kotheimer 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 ID2365458098

PECOS Enrollment IDI20060303000449

Medicare Billing Reassignment

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

Chardon Family Chiropractic Clinic Inc.

0.3 mi

Chiropractor

102 EAST PARK STREET
Chardon, OH 44024

Reassigned Medicare billing, Ohio enrollment

NPI 1689858169 (440) 286-2225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

DR. DAVID ANTHONY BERMAN D.C.

Chiropractor

102 E PARK ST, SUITE 3
CHARDON, OH 44024

Geauga County (440) 286-2225

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 Barry Kotheimer's NPI number?

The NPI number for Barry Kotheimer is 1376615955. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Barry Kotheimer located?

Barry Kotheimer practices at 102 E Park St, Chardon, OH 44024. The listed phone number is (440) 286-2225.

What is Barry Kotheimer's specialty?

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

Is Barry Kotheimer enrolled in Medicare?

Yes. Barry Kotheimer 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 Barry Kotheimer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barry Kotheimer reassigns Medicare benefits to Chardon Family Chiropractic Clinic Inc. (Chardon, OH). 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 Barry Kotheimer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Barry Kotheimer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.