Medicare Chiropractor in Surprise, AZ
Legg Chiropractic and Acupuncture is a Medicare chiropractor in Surprise, AZ, minutes from Sun City and Sun City West. We are enrolled with Medicare and bill it directly for the medically necessary spinal adjustment, so you pay only your Medicare share. Dr. Derek M. Legg, D.C., M.P.H. tells you what Medicare covers for your case, and what anything else would cost, in writing before care begins. Results vary from person to person.
Does Medicare cover chiropractic care?
Yes. Medicare Part B covers one chiropractic service: the spinal adjustment to correct a subluxation when it is medically necessary. That is the manual chiropractic adjustment of the spine, and we bill Medicare for it directly. You do not file a claim yourself.
What Medicare does not cover
Medicare does not cover the services around the adjustment when a chiropractor provides them. That includes the examination, digital X-rays, acupuncture, dry needling, electrical stimulation, massage, extremity adjustments, and maintenance care once you are no longer actively improving. Those are self pay, and we quote the price to you in writing before we do any of them.
What you will pay
For 2026 the Medicare Part B deductible is $283, paid once a year. After you meet it, Medicare pays 80 percent of the Medicare-approved amount for the covered adjustment and you owe the other 20 percent. A Medicare supplement or a Medicare Advantage plan may pay part or all of your share, depending on the plan, and we verify your coverage before your first visit so there are no surprise bills.
Medicare supplements and Advantage plans
Many of our Medicare patients carry a supplement or an Advantage plan. Advantage plans set their own copays and may have their own rules, so we check your plan before care begins and tell you what it means for you. More detail on the plans we take is on our insurance page.
Why it matters that we bill Medicare
Not every chiropractic office is enrolled with Medicare. Some cash only clinics cannot bill Medicare at all, so you pay the full price and have no Medicare claim to show for it. We are enrolled, we file the claim for the covered adjustment, and you pay only the Medicare share. If you are comparing offices, ask one question before you go: do you bill Medicare directly? We do. It is also worth asking what the office will charge for anything Medicare does not cover. We put that in writing before care begins, so the only numbers you see at the front desk are the numbers you already agreed to.
Why Medicare patients come in
Most of our Medicare patients come in for back pain, neck pain, sciatica and radiating pain, shoulder and hip pain, and headaches. Many want to keep golfing, gardening, walking, and playing with their grandkids. Long-standing pain is covered on our chronic conditions page, and the full list is on our conditions we treat page.
What to expect on your first visit
We verify your Medicare Part B and any supplement or Advantage plan first. Dr. Legg then takes your history and examines how you move, and takes X-rays in the office if they are clinically necessary. He explains in plain English what Medicare covers for your case and what any self pay service would cost. When it is appropriate, you receive your first adjustment the same day. More detail is on our first visit page.
Is the $49 first visit available with Medicare?
No. The $49 first visit is for new self pay patients only. It does not apply to Medicare, auto accident or personal injury cases, or workers' compensation. Medicare patients are billed the normal Medicare way for the covered adjustment.
Do I need a referral?
No. Arizona allows you to see a chiropractor directly, and Medicare does not require a referral for the covered adjustment. Walk ins are welcome Monday through Thursday.
Is there a limit on visits?
Medicare does not set a yearly visit limit for the covered adjustment, but it pays only while care is medically necessary and you are actively improving. Once care becomes maintenance, it is no longer covered by Medicare, and Dr. Legg tells you before that happens so you can decide what comes next.
Does Medicare cover acupuncture or dry needling from a chiropractor?
No. Medicare does not cover acupuncture or dry needling when a chiropractor provides it. Both are available as self pay, quoted in writing first. Medicare does cover the spinal adjustment. More answers are on our frequently asked questions page.
Is chiropractic care gentle enough for older adults?
Yes. Care is adapted to your age, your bones, and your comfort. Dr. Legg can use lighter force or a handheld instrument instead of a strong twist, and he explains each step before he does it. Nothing happens without your say so, and gentle therapeutic exercise helps you keep what you gain.
Who you will see
Dr. Derek M. Legg, D.C., M.P.H. earned his Doctor of Chiropractic at Logan University and a Master of Public Health, and he is Certified in Acupuncture by the Arizona Board of Chiropractic Examiners. He leads every visit himself, so you see the same doctor every time. Every option we offer is on our services page, and care for the whole family is on our patients page.
Serving Surprise and the West Valley
We are on West Bell Road in Surprise, inside Sheitelman Physical Medicine, minutes from Sun City West, Sun City, El Mirage, Peoria, and Litchfield Park. Read more about our chiropractor in Surprise, AZ. We see patients Monday through Thursday.
Legg Chiropractic and Acupuncture, 13757 W Bell Rd #101, Surprise, AZ 85374. Call (623) 214-7600.