Doctor profile · Federal record

Dr. Kelly Roush Icenhower, DC

Chiropractor (CMS: Chiropractic) · Chiropractor · Gallipolis, OH

  • NPI 1629018320
  • Accepts Medicare
  • MIPS 78.2 / 100 · 2023
  • 30 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1051 4Th Ave
Gallipolis, OH 456311612
(740) 446-5244
fax (740) 446-5565
Mailing address
90 Jackson Pike
Gallipolis, OH 456311560

Credentials & registration

NPPES · NUCC
NPI registered
June 2006 — 20 yrs on file
Profile last updated
July 1, 2020
Year of graduation
1996 — 30 yrs since
Specialty taxonomy
111N00000X — NUCC code
State licenses (2)
Ohio #2510 · West Virginia #2510
Medicaid (2)
OH #2026677 · WV #0132242000

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1629018320. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
205
Distinct HCPCS
2
Medicare allowed
$6,139
HCPCS Description Services Patients Avg allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions 146 25 $26
98941 Chiropractic manipulative treatment, 3-4 spinal regions 59 13 $38

In context: peer comparison

Among 4 peers in this city , average services per provider: 220. This provider delivers 0.9× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Kelly Roush Icenhower's medical specialty?
Dr. Kelly Roush Icenhower practices Chiropractor in Gallipolis, OH.
Where does Dr. Kelly Roush Icenhower practice?
Dr. Kelly Roush Icenhower practices at 1051 4Th Ave, Gallipolis, OH 456311612. Office phone: 7404465244.
What is Dr. Kelly Roush Icenhower's NPI?
Dr. Kelly Roush Icenhower's National Provider Identifier (NPI) is 1629018320, issued by NPPES.
Does Dr. Kelly Roush Icenhower accept Medicare assignment?
Yes. Dr. Kelly Roush Icenhower accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Roush Icenhower commonly perform?
Top Medicare-reported procedures in 2023: Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS 98940); Chiropractic manipulative treatment, 3-4 spinal regions (HCPCS 98941). Source: CMS Medicare Physician & Other Practitioners file.