DR. JEFFERY MICHAEL DEATHERAGE D.C.
NPI 1962784595
Chiropractor - Rehabilitation in Rancho Mirage, CA
NPI Status: Active since September 09, 2011
Contact Information
36101 BOB HOPE DR STE A
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 321-1315
Fax: (760) 321-1094
- Individual
- Male
- Years of Experience 15
- Chiropractor
- Rehabilitation
- Accepts Insurance
- Accepts Medicare Approved Payment
About JEFFERY DEATHERAGE
This page provides the complete NPI Profile along with additional information for Jeffery Deatherage, a provider established in Rancho Mirage, California with a medical specialization in Chiropractor, focusing in rehabilitation and more than 15 years of experience. He graduated from Life Chiropractic College in 2011. The healthcare provider is registered in the NPI registry with number 1962784595 assigned on September 2011. The practitioner's primary taxonomy code is 111NR0400X with license number 16116 (TX). The provider is registered as an individual and his NPI record was last updated March 2026.
- NPI
- 1962784595
- Provider Name
- DR. JEFFERY MICHAEL DEATHERAGE D.C.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 36101 BOB HOPE DR STE A RANCHO MIRAGE, CA 92270
- Location Phone
- (760) 321-1315
- Location Fax
- (760) 321-1094
- Mailing Address
- 36101 BOB HOPE DR STE A RANCHO MIRAGE, CA 92270
- Mailing Phone
- (760) 321-1315
- Mailing Fax
- (760) 321-1094
- Medical School Name
- LIFE CHIROPRACTIC COLLEGE
- Graduation Year
- 2011
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-09-2011
- Last Update Date
- 03-04-2026
- Code Navigator
A chiropractor like Jeffery Deatherage helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor Rehabilitation
- Taxonomy Code
- 111NR0400X
- Type
- Chiropractic Providers
- License No.
- 16116
- License State
- TX
- Taxonomy Description
- Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16116 | OTHER (01) | TX | CHIROPRACTIC LICENSE |
Medicare Participation & PECOS Enrollment Status
Jeffery Deatherage is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 4880836923
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20251113002336
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1962784595, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 75 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
RANCHO MIRAGE, CA 92270
RANCHO MIRAGE, CA 92270
RANCHO MIRAGE, CA 92270
RANCHO MIRAGE, CA 92270
RANCHO MIRAGE, CA 92270
RANCHO MIRAGE, CA 92270
RANCHO MIRAGE, CA 92270
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962784595, enumerated as an "individual" on September 09, 2011.
The provider is located at 36101 BOB HOPE DR STE A RANCHO MIRAGE, CA 92270 and the phone number is (760) 321-1315.
Chiropractor with taxonomy code 111NR0400X and a focus in Rehabilitation.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to verify.
