Medicare Chiropractor in Surprise, AZ
A Medicare chiropractor in Surprise, AZ, who accepts Medicare and bills it directly, so you pay only your Medicare share and we file the claims for you. Dr. Derek M. Legg treats Medicare patients every week, and this page lays out in plain English what Medicare covers, what it does not, and what you will actually pay, before you ever walk in.
Does Medicare Cover a Chiropractor?
Yes. Medicare Part B covers the chiropractic spinal adjustment, which Medicare calls manual manipulation of the spine, when it is done to correct a subluxation, a joint that is not moving the way it should. We are enrolled with Medicare and bill it directly for the covered adjustment, so you are billed through Medicare rather than cash-only, and there is no claim for you to file. Not every clinic can bill Medicare, and some cash-only chains cannot, so it is worth asking before you go.
What Medicare Covers, and What It Does Not
Medicare covers the spinal adjustment to correct a subluxation, and there is no yearly limit on visits as long as the care is actively helping and medically necessary. Medicare does not cover the things around the adjustment: the examination, X-rays, massage, extremity adjusting, acupuncture, dry needling, electrical stimulation, or maintenance care once you are no longer actively improving. Those are billed as self-pay, and we tell you the price in writing first. Medicare Advantage plans sometimes cover more, so we check your specific plan.
What You Will Pay in 2026
For the covered adjustment, you first meet the Medicare Part B deductible, which is $283 in 2026. After that, Medicare pays 80 percent of the approved amount, and you are responsible for the remaining 20 percent, which usually works out to somewhere around $6 to $10 per visit. If you have a Medicare supplement or a Medicare Advantage plan, it may cover part or all of that share. We verify your coverage and go over the numbers with you before care begins.
Do You Need a Referral, and Is There a Visit Limit?
No referral is needed. In Arizona, you can see a chiropractor directly, and Medicare does not require a referral for the covered adjustment. There is also no annual cap on the number of visits, as long as each one is medically necessary and actively correcting the subluxation. Once you have reached maximum improvement, Medicare coverage for that episode ends, and any continued wellness care would be self-pay, which we would tell you about ahead of time.
The Care Medicare Does Not Cover
Some of the care that helps most, such as acupuncture, dry needling, and digital X-rays, is not covered by Medicare when a chiropractor provides it, so it is offered as self-pay and quoted in writing before anything is done. Your Medicare-covered adjustment is still billed to Medicare in the normal way, with your usual cost share, so you always know what is covered and what is not.
What to Expect on Your First Visit
Your first visit is a consultation, a full examination, digital X-rays if they are clinically necessary, and, when appropriate, your first adjustment. Dr. Legg walks you through what Medicare covers for your case and what any self-pay services would cost, so you leave with a clear picture and no surprise bill. We handle the Medicare billing for you, and more detail on the day is on the first visit page. Walk-ins are welcome Monday through Thursday.
Medicare Chiropractic: Common Questions
Do you accept and bill Medicare?
Yes. We are enrolled with Medicare and bill it directly for the covered spinal adjustment. You pay only your Medicare share, and we file the claim for you.
Does Medicare cover acupuncture or dry needling from a chiropractor?
No. Medicare does not cover acupuncture or dry needling when a chiropractor performs it, so those are self-pay and quoted in writing. Medicare does cover the spinal adjustment.
How much will each visit cost me?
After the 2026 Part B deductible of $283, Medicare pays 80 percent of the covered adjustment and you owe 20 percent, often around $6 to $10 per visit, unless a supplement or Advantage plan covers your share. We verify this before care begins.
Do I need a referral?
No. Arizona allows direct access to a chiropractor, and Medicare does not require a referral for the covered adjustment.
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 reads your imaging with you himself. You see the same doctor at every visit, which is why your plan stays consistent, and nothing gets handed off between providers.
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, Litchfield Park, Waddell, Peoria and Goodyear. You can also see chiropractic care in Surprise, AZ. We are at 13757 W Bell Rd #101, Surprise, AZ 85374, and we see patients Monday through Thursday. Call (623) 214-7600 to get started.
Related care: Back Pain, Neck Pain, Sciatica and Radiating Pain, Shoulder and Hip Pain, Headaches, and Auto Accident Injuries.
Explore our services: Chiropractic, Acupuncture, Dry Needling, Digital X-Ray, MRI Review, Posture Evaluation, Electrical Stimulation, Therapeutic Exercise, and Spinal Decompression.
%20.jpg)