Individual provider Active NPI

Shayne Pluto

  • Chiropractor
  • Breese, IL
National Provider Identifier
1730045832
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038014403 Issued in IL
Practice address
397 N Plum St
Breese, IL 62230-1528
Phone
(618) 526-4700
NPI assigned
Jan 2, 2026
Last updated
Jan 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038014403 IL Primary

Addresses

Primary practice location

397 N Plum St
Breese, IL 62230-1528

Mailing address

397 N Plum St
Breese, IL 62230-1528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260108000903 IL Practitioner - Chiropractic 0143706218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Physical Medicine PLLCGroup PAC ID 3173055506, 3 clinicians

Practice addresses (Care Compare)

397 N Plum St
Breese, IL 62230-1528
Phone (618) 526-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038014403ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Physical Medicine PLLC CurrentSince Jan 2, 2026 Accepting new patients
Revermann Chiropractic P.C. Chiropractor CurrentSince Jan 2, 2026 Accepting new patients

Locations

397 N Plum St
Breese, IL 62230
Phone (618) 526-4700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1730045832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 N PLUM ST",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622301528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 N PLUM ST",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622301528",
            "telephone_number": "618-526-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUTO",
        "first_name": "SHAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038014403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breese, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.