Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Scott Theodor Godbersen, DC

Individual provider Chiropractor · NPI 1215940440

Dr. Scott Theodor Godbersen, DC is registered under Chiropractic in Neosho, Missouri. Graduated from Northwestern College of Chiropractic in 2006, 20 years ago. Accepts Medicare assignment. Licensed in Minnesota, Missouri and Oklahoma.

Years since qualifying
20
Trained at
Northwestern College of Chiropractic
Licensed in
MN, MO, OK
In the registry since
2006
Specialties on file
3
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1400 Waldo Halter Mem Dr
Neosho, MO 64850-2034 Not confirmed with CMS for 11 years — call before visiting
Phone: (417) 455-1025
Fax: (417) 455-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2008015775 (MO)
Chiropractor Taxonomy 111N00000X · Licence 4833 (MN)
Chiropractor Taxonomy 111N00000X · Licence 3847 (OK)

Record details

NPI number1215940440
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESApril 6, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients59
Services billed 660 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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