Jeffrey Spencer, MA, DC, CCSP

Dr. Jeff Spencer graduated from Cleveland Chiropractic College Los Angeles and has a master’s degree in physical education. He treated cyclist Lance Armstrong before, during and after all seven of his Tour de France victories, helped Armstrong’s former team to its eighth Tour victory in 2007, and has also worked with numerous professional athletes, including Olympic and world champions. Dr. Spencer can be contacted at jspencer81@aol.com.

Previous Articles

Low-Power Lasers in Practice: How They Work and How They Help
Correcting Postural Distortions and Loss of Movement Control
August 12, 2009 (Vol. 27, Issue 17)
Looking Forward to the Future of Chiropractic
November 18, 2008 (Vol. 26, Issue 24)
Trending
Billing / Fees / Insurance
Should You Be In-Network or Out-of-Network With Insurance?
Should You Be In-Network or Out-of-Network With Insurance?

It’s a new year and many chiropractors are evaluating what will enhance their respective practices, particularly as it relates to their bottom line. One of the most common questions I get is: “Do I need to be credentialed to bill insurance, and what are the best plans to join?” It’s a loaded question – but one every DC ponders. Whether you're already in-network or pondering whether to join, here's what you need to know.

Samuel A. Collins
X-ray / Imaging / MRI
Radiologist-Missed Spinal Tumor Found by Chiropractor
Radiologist-Missed Spinal Tumor Found by Chiropractor

A 36-year-old female presented on Nov. 18, 2025, with lumbar pain and left lower extremity radiculopathy. Following a comprehensive history, physical examination, and radiographic evaluation to assess anatomical and biomechanical factors, an immediate lumbar MRI was ordered due to the patient’s radiculopathic symptoms and clinical findings.

Mark Studin, DC, FPSC, FASBE(C), DAAPM; Timothy Clare, DC, FPSC(C)
Billing / Fees / Insurance
Guidelines vs. Care: Bridging the Gap
Guidelines vs. Care: Bridging the Gap

What happens when best practices for patient care fall outside what guidelines endorse or insurance will cover? More importantly, how can clinicians ethically and effectively integrate non-reimbursed services that improve function, reduce disability and support long-term outcomes? These are not just clinical questions; they are economic and policy challenges that directly affect practice viability and patient access.

Christopher Proulx, DC, PhD(ABD), CSCS