Derek Lund
Individual provider Active NPI Chiropractor · Marathon, WI
NPI 1417499567 · NPPES record last updated May 14, 2025
Key facts
- NPI
- 1417499567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5220-12 (WI)
- Practice address
- 117 Main St
Marathon, WI 54448-9646 - Phone
- (715) 443-6777
- NPI assigned
- Nov 7, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
117 Main St
Marathon, WI 54448-9646
Phone (715) 443-6777
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161117000017 | WI | Practitioner - Chiropractic | 7810276706 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Health of Wisconsin, SC | Chiropractor | Current |
Accepting new patients |
| Marathon Spine & Wellness, LLC | Chiropractor | Current |
Accepting new patients |
Locations
3 E Main St
Blk River Fls, WI 54615
Phone (715) 284-2225
117 Main St
Marathon, WI 54448
Phone (715) 443-6767
522 Hewett St
Neillsville, WI 54456
Phone (715) 743-3600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5220-12 | WI | Yes |
Addresses
Primary practice location
117 Main St
Marathon, WI 54448-9646
Mailing address
117 Main St
Marathon, WI 54448-9646
Phone (715) 443-6777
Other names
- Dr. Derek J Lund
Other providers in Marathon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.