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DR. JON-TYLER ROACH D.C.
NPI 1508262882
Chiropractor in Barboursville, WV

Active since November 13, 2014Accepts Medicare Assignment
6468 FARMDALE RD, BARBOURSVILLE, WV 25504(304) 733-4038(304) 733-4036 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 27, 2020, Sep 20, 2019, Jun 18, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Jon-tyler Roach D.c. NPPES

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

DR. JON-TYLER ROACH D.C. (NPI 1508262882) is an individual chiropractor in Barboursville, West Virginia, licensed in West Virginia (973) and active in the NPI registry since November 2014. He is affiliated with St Mary's Medical Center and is a graduate of Life Chiropractic College (2013).

NPPES Registry Identity

NPI1508262882
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JON-TYLER ROACHCredential: D.C.
Location Address6468 FARMDALE RDBarboursville, WV 25504-1330
Mailing Address6468 Farmdale RdBarboursville, WV 25504-1330 · (304) 733-4038 · Fax (304) 733-4036
Phone(304) 733-4038
Fax(304) 733-4036
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2013
Enumeration DateNovember 13, 2014
Last NPPES UpdateFebruary 27, 20204 updates tracked since enumeration
✔ NPI 1508262882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WV · 973
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.
6468 FARMDALE RD, Barboursville, WV 25504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia, Providence Health Plan.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. Jon-tyler Roach 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 ID5597061127
PECOS Enrollment IDI20160308002485

Medicare Billing Reassignment

Medicare enrollment records show Jon-tyler Roach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

304 Chiropractic PLLC
Same address
Chiropractor
6468 FARMDALE RD
Barboursville, WV 25504
  • Reassigned Medicare billing, West Virginia enrollment
NPI 1598325946 (304) 743-1261

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, 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.
149 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510007
Location2900 1st AvenueHuntington, WV 25702 · Cabell County
Emergency services

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.

WOMEN'S HEALTH SERVICES
Nurse Practitioner
6468 FARMDALE RD
BARBOURSVILLE, WV 25504
Cabell County (304) 302-7777
304 CHIROPRACTIC PLLC
Chiropractor
6468 FARMDALE RD
BARBOURSVILLE, WV 25504
Cabell County (304) 743-1261

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 Jon-tyler Roach's NPI number?

The NPI number for Jon-tyler Roach is 1508262882. It was assigned to this individual provider in the NPPES registry on November 13, 2014.

Where is Jon-tyler Roach located?

Jon-tyler Roach practices at 6468 Farmdale Rd, Barboursville, WV 25504. The listed phone number is (304) 733-4038.

What is Jon-tyler Roach's specialty?

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

Is Jon-tyler Roach enrolled in Medicare?

Yes. Jon-tyler Roach 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 Jon-tyler Roach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon-tyler Roach reassigns Medicare benefits to 304 Chiropractic PLLC (Barboursville, WV). 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 Jon-tyler Roach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon-tyler Roach accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia and Providence Health Plan list Jon-tyler Roach 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.

Is Jon-tyler Roach affiliated with any hospitals?

According to CMS data, Jon-tyler Roach is affiliated with St Mary's Medical Center.

When was this NPI record last updated?

The NPPES record for Jon-tyler Roach was last updated on February 27, 2020. 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.