MELANIE VANDERPOL AUD
NPI 1003017799
Audiologist in Boise, ID

NPI Status: Active since May 30, 2007

Contact Information

6094 W EMERALD STREET
BOISE, ID
ZIP 83704
Phone: (208) 302-1000
Fax: (208) 302-1035

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  • Individual
  • Female
  • Years of Experience 17
  • Audiologist
  • Accepts Medicare Approved Payment

About MELANIE VANDERPOL

Melanie Vanderpol is a provider established in Boise, Idaho and her medical specialization is Audiologist with more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1003017799 assigned on May 2007. The practitioner's primary taxonomy code is 231H00000X with license number AUD-3852 (ID). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1003017799
Provider Name
MELANIE VANDERPOL AUD
Gender
Female
Entity Type
Individual
Location Address
6094 W EMERALD STREET BOISE, ID 83704
Location Phone
(208) 302-1000
Location Fax
(208) 302-1035
Mailing Address
3340 E GOLDSTONE DR MERIDIAN, ID 83642
Mailing Phone
(208) 302-1000
Mailing Fax
(208) 302-1035
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
05-30-2007
Last Update Date
06-12-2019
Code Navigator

Audiologists like Melanie Vanderpol are experts in diagnosing issues related to various parts of the ear, including the outer, middle, and inner ear. They can identify conditions like vertigo, balance issues, hearing loss, and tinnitus, offering treatments based on a patient’s specific condition and severity. These specialists use specialized equipment to assess the cause and extent of hearing impairments, employing tools like audiometers to evaluate the range of frequencies and volumes a person can hear. In addition, audiologists counsel patients and their families, providing advice on managing and adapting to hearing loss.

Melanie Vanderpol is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Audiologist

Taxonomy Code
231H00000X
Type
Speech, Language and Hearing Service Providers
License No.
AUD-3852
License State
ID
Taxonomy Description
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Plan, Inc.

    • Moda Health Affinity Bronze 7750 - EPO
    • Moda Health Affinity Bronze 9000 - EPO
    • Moda Health Affinity Bronze HSA 7500 - EPO
    • Moda Health Affinity Gold 1000 - EPO
    • Moda Health Affinity Gold 250 - EPO
    • Moda Health Affinity Silver 3500 - EPO
    • Moda Health Affinity Silver 4500 - EPO
    • Moda Health Affinity Silver 6400 - EPO
    • Moda Health Oregon Standard Bronze Plan (Affinity) - EPO
    • Moda Health Oregon Standard Gold (Affinity) - EPO
    • Moda Health Oregon Standard Silver (Affinity) - EPO
  • Moda Health, Inc.

    • Moda Select Bronze 8700 ($0 Virtual Care) - EPO
    • Moda Select Bronze HSA 7500 - EPO
    • Moda Select Gold 1000 ($0 Virtual Care) - EPO
    • Moda Select Gold 1800 ($0 Virtual Care) - EPO
    • Moda Select Silver 3500 ($0 Virtual Care) - EPO
    • Moda Select Silver 4800 ($0 Virtual Care) - EPO
    • Moda Select Silver 6400 ($0 Virtual Care) - EPO
    • Moda Select Texas Standard Bronze - EPO
    • Moda Select Texas Standard Gold - EPO
    • Moda Select Texas Standard Silver - EPO
  • Mountain Health CO-OP

    • Connect Bronze Expanded - PPO
    • Connect Bronze Expanded Standard - PPO
    • Connect Bronze HDHP - PPO
    • Connect Catastrophic - PPO
    • Connect Gold - PPO
    • Connect Gold Standard - PPO
    • Connect Silver - PPO
    • Connect Silver Option 2 - PPO
    • Connect Silver Standard - PPO
    • High Plains Bronze HDHP - PPO
    • High Plains Bronze Standard Expanded - PPO
    • High Plains Gold - PPO
    • High Plains Gold HDHP - PPO
    • High Plains Gold Standard - PPO
    • High Plains Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 5294826103

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070807000594

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 82

    Eardrum testing using ear probe (HCPCS:92567)

  • 77

    Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Melanie Vanderpol is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SAINT ALPHONSUS REGIONAL MEDICAL CENTER1055 NORTH CURTIS ROAD
BOISE, ID 83706
(208) 367-2121Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003017799
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030114718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 4 + 7 + 1 + 8 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1003017799 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003017799, enumerated in the NPI registry as an "individual" on May 30, 2007

The provider is located at 6094 W Emerald Street Boise, Id 83704 and the phone number is (208) 302-1000

The provider's speciality is Audiologist with taxonomy code 231H00000X

The provider has more than 17 years of experience.

The provider might be accepting Accepts: Moda Health Plan, Inc., Moda Health, Inc. and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Eardrum testing using ear probe and Air and bone conduction assessment of hearing loss and speech recognition.

The practitioner is affiliated to the following hospital(s): SAINT ALPHONSUS REGIONAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 30, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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