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MR. JERRY E CARTER DC
NPI 1407935695
Chiropractor in Peoria, IL

Active since November 06, 2006Accepts Medicare Assignment
1605 W CANDLETREE DRIVE, SUITE 111, PEORIA, IL 61614(309) 691-0486(309) 683-1113 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Jerry E Carter Dc NPPES

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

MR. JERRY E CARTER DC (NPI 1407935695) is an individual chiropractor in Peoria, Illinois and active in the NPI registry since November 2006. He is a graduate of Palmer College Chiropractic - Davenport (1980).

NPPES Registry Identity

NPI1407935695
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. JERRY E CARTERCredential: DC
Location Address1605 W CANDLETREE DRIVE, SUITE 111Peoria, IL 61614
Mailing Address1605 W Candletree Drive, Suite 111Peoria, IL 61614 · (309) 691-0486 · Fax (309) 683-1113
Phone(309) 691-0486
Fax(309) 683-1113
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1980
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407935695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1605 W CANDLETREE DRIVE, Peoria, IL 61614
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Other Identifiers 1

Medicare UPIN660440

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

Mr. Jerry E Carter 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 ID7012047400
PECOS Enrollment IDI20100610001027

Medicare Billing Reassignment

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

Carter Chiropractic Office Ltd
Same address
Chiropractor
1605 W CANDLETREE DR STE 111
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
NPI 1518618743 (309) 691-0486

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

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.
419 services32 patients

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 Jerry Carter's NPI number?

The NPI number for Jerry Carter is 1407935695. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Jerry Carter located?

Jerry Carter practices at 1605 W Candletree Drive Suite 111, Peoria, IL 61614. The listed phone number is (309) 691-0486.

What is Jerry Carter's specialty?

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

Is Jerry Carter enrolled in Medicare?

Yes. Jerry Carter 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 Jerry Carter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Carter reassigns Medicare benefits to Carter Chiropractic Office Ltd (Peoria, IL). 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 Jerry Carter'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 Jerry Carter 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.