DR. CAMERON GORDINEER DC
NPI 1730959610
Chiropractor in Maryville, IL
About Dr. Cameron Gordineer Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CAMERON GORDINEER DC (NPI 1730959610) is an individual chiropractor in Maryville, Illinois, licensed in Illinois (038.014100) and active in the NPI registry since January 2024. He maintains a secondary practice location in Troy and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Cameron Gordineer 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.
Medicare Billing Reassignment
Medicare enrollment records show Cameron Gordineer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Alton, IL 62002
- Reassigned Medicare billing, Illinois enrollment
- 2 clinicians in this Medicare group
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 Cameron Gordineer's NPI number?
The NPI number for Cameron Gordineer is 1730959610. It was assigned to this individual provider in the NPPES registry on January 3, 2024.
Where is Cameron Gordineer located?
Cameron Gordineer practices at 4949 Autumn Oaks Dr Ste A, Maryville, IL 62062. The listed phone number is (757) 774-6252.
What is Cameron Gordineer's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Cameron Gordineer enrolled in Medicare?
Yes. Cameron Gordineer 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 Cameron Gordineer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cameron Gordineer reassigns Medicare benefits to Chiro One Wellness Center Of Alton LLC (Alton, 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 Cameron Gordineer'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 Cameron Gordineer was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Cameron Gordineer, DC · NPI 1730959610
Chiropractor provider in Maryville, Illinois. Individual provider, active in the CMS NPPES registry since January 3, 2024.
## Identity
- **NPI:** 1730959610 (Entity type: Individual)
- **Enumerated:** January 3, 2024
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 038.014100 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4949 AUTUMN OAKS DR STE A, Maryville, IL 62062-8557
- **Phone:** (757) 774-6252
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Chiro One Wellness Center Of Alton LLC (NPI 1346897345, Alton, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1730959610) · Data from the CMS NPPES public registry.