KELLY J. ROUSH ICENHOWER DC
NPI 1629018320
Chiropractor in Gallipolis, OH

Q: What is Kelly Roush Icenhower's NPI number?

The NPI number for Kelly Roush Icenhower is 1629018320. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Kelly Roush Icenhower's specialty?

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

Active since June 08, 2006Accepts Medicare Assignment

81.42/100

CMS Quality Rating

1051 4TH AVE, GALLIPOLIS, OH 45631(740) 446-5244(740) 446-5565 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kelly J. Roush Icenhower Dc NPPES

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

KELLY J. ROUSH ICENHOWER DC (NPI 1629018320) is an individual chiropractor in Gallipolis, Ohio, licensed in Ohio (2510) and active in the NPI registry since June 2006. She is a graduate of Palmer College Chiropractic - West Sunnyvale (1996).

NPPES Registry Identity

NPI1629018320

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameKELLY J. ROUSH ICENHOWERCredential: DC

Location Address1051 4TH AVEGallipolis, OH 45631-1612

Mailing Address90 Jackson PikeGallipolis, OH 45631-1560 · (740) 446-5244 · Fax (740) 446-5565

Phone(740) 446-5244

Fax(740) 446-5565

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 1996

Enumeration DateJune 8, 2006

Last NPPES UpdateJuly 1, 2020

NPPES CertifiedJuly 1, 2020

✔ NPI 1629018320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in OH · 2510✔ Licensed in WV · 2510

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.

1051 4TH AVE, Gallipolis, OH 45631

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Other Identifiers 7

Medicaid0132242000WV

Other001714092Mountain State Bcbs

Other000000007692Anthem Bcbs

Medicaid2026677OH

Other310917085149OH · Caresource Medicaid

Other350039394Rr Medicare

Other000000185276OH · Unison Medicaid

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource 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

Kelly J. Roush Icenhower 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 ID4789775909

PECOS Enrollment IDI20070802000213, I20100217000391

Medicare Billing Reassignment

Medicare enrollment records show Kelly Roush Icenhower reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Holzer Clinic, LLC

3.0 mi

Multi-Specialty

100 JACKSON PIKE
Gallipolis, OH 45631

Reassigned Medicare billing, Ohio and West Virginia enrollments
321 clinicians in this Medicare group

NPI 1508817248 (740) 446-5385

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.

88 services26 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.28

Promoting Interoperability

100

Improvement Activities

Cost

57.96

Reported Quality Measures

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

37%279 patients1/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

44%462 patients2/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

48%462 patients2/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

12%462 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

27%462 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

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