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DR. THOMAS JEFFERSON PRIDEMORE JR. D.C.
NPI 1861575227
Chiropractor in Macomb, IL

Active since October 21, 2006Accepts Medicare Assignment
109 S JOHNSON ST, MACOMB, IL 61455(309) 333-9264 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas Jefferson Pridemore Jr. D.c. NPPES

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

DR. THOMAS JEFFERSON PRIDEMORE JR. D.C. (NPI 1861575227) is an individual chiropractor in Macomb, Illinois, licensed in Illinois (038009915) and active in the NPI registry since October 2006. He is a graduate of Palmer College Chiropractic - Davenport (2002).

NPPES Registry Identity

NPI1861575227
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. THOMAS JEFFERSON PRIDEMORE JR.Credential: D.C.
Location Address109 S JOHNSON STMacomb, IL 61455-2134
Mailing AddressPo Box 893Macomb, IL 61455-0893 · (309) 333-9264
Phone(309) 333-9264
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2002
Enumeration DateOctober 21, 2006
Last NPPES UpdateOctober 15, 2012
✔ NPI 1861575227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038009915
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.
109 S JOHNSON ST, Macomb, IL 61455
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Other Identifiers 5

Medicare ID-Type Unspecified207979IL
Medicaid038009915IL
Medicare PINK02962IL
Other05532009IL · Bluecross/blueshield Id
Medicare UPINU98116IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Jefferson Pridemore Jr. 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 ID2062309065
PECOS Enrollment IDI20040309000122

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.
114 services19 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 Thomas Pridemore's NPI number?

The NPI number for Thomas Pridemore is 1861575227. It was assigned to this individual provider in the NPPES registry on October 21, 2006.

Where is Thomas Pridemore located?

Thomas Pridemore practices at 109 S Johnson St, Macomb, IL 61455. The listed phone number is (309) 333-9264.

What is Thomas Pridemore's specialty?

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

Is Thomas Pridemore enrolled in Medicare?

Yes. Thomas Pridemore 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.

When was this NPI record last updated?

The NPPES record for Thomas Pridemore was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.