PAYTON HOLMES DC
NPI 1508454737
Chiropractor in Monmouth, IL
About Payton Holmes Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAYTON HOLMES DC (NPI 1508454737) is an individual chiropractor in Monmouth, Illinois, licensed in Illinois (038.013623) and active in the NPI registry since January 2021. He is a graduate of Palmer College Chiropractic - Davenport (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Payton Holmes Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Payton Holmes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Monmouth, IL 61462
- Reassigned Medicare billing, Illinois enrollment
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.
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 Payton Holmes's NPI number?
The NPI number for Payton Holmes is 1508454737. It was assigned to this individual provider in the NPPES registry on January 4, 2021.
Where is Payton Holmes located?
Payton Holmes practices at 107 N Main St, Monmouth, IL 61462. The listed phone number is (309) 299-6968.
What is Payton Holmes's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Payton Holmes enrolled in Medicare?
Yes. Payton Holmes is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Payton Holmes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Payton Holmes reassigns Medicare benefits to Personal Best Chiropractic, LLC (Monmouth, 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 Payton Holmes'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 Payton Holmes was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Payton Holmes, DC · NPI 1508454737
Chiropractor provider in Monmouth, Illinois. Individual provider, active in the CMS NPPES registry since January 4, 2021.
## Identity
- **NPI:** 1508454737 (Entity type: Individual)
- **Enumerated:** January 4, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 038.013623 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 107 N MAIN ST, Monmouth, IL 61462-1738
- **Phone:** (309) 299-6968
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Personal Best Chiropractic, LLC (NPI 1417545658, Monmouth, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - Davenport, class of 2020
## Record status
- **NPPES last updated:** October 7, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1508454737) · Data from the CMS NPPES public registry.