DR. SANDY MAGALLAN AUD
NPI 1366928236
Audiologist in Edinburg, TX

Active since July 13, 2018Accepts Medicare Assignment
81.44/100
CMS Quality Rating
1100 E DOVE AVE, STE 402, EDINBURG, TX 78539(956) 362-8125(956) 362-8135 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 15, 2024, Nov 5, 2020, Jan 28, 2020 and 2 more (5 updates tracked since 2018).

About Dr. Sandy Magallan Aud NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SANDY MAGALLAN AUD (NPI 1366928236) is an individual audiologist in Edinburg, Texas, licensed in Texas (81081) and active in the NPI registry since July 2018. She is affiliated with Doctors Hosptal At Renaissance and is a graduate of Texas Tech University Health Science Center School Of Medicine (2018).

NPPES Registry Identity

NPI1366928236
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameDR. SANDY MAGALLANCredential: AUD
Location Address1100 E DOVE AVE, STE 402Edinburg, TX 78539
Mailing AddressPo Box 749Pharr, TX 78577-1614 · (956) 362-8125 · Fax (956) 362-8135
Fax(956) 362-8135
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2018
Enumeration DateJuly 13, 2018
Last NPPES UpdateNovember 15, 20245 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
NPI 1366928236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License Licensed in TX · 81081
Definition
(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.
Also ListedAudiologist-Hearing Aid FitterTaxonomy 237600000X · License 81081 (TX)
1100 E DOVE AVE, Edinburg, TX 78539

Other Identifiers 3

Medicaid395356402TX
OtherH08LZ45801TX · Bcbs
Medicaid3953564-04TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sandy Magallan Aud is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709122864
PECOS Enrollment IDI20190110000030

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
12 services12 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$54.84 typical visit price
range $54.84 – $166.88
Typical copayment $13.71 (range $13.71 – $41.72)
Most-billed visit code 99202
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.83
Promoting Interoperability98
Improvement Activities40
Cost49.23

Reported Quality Measures

Documentation of Current Medications in the Medical Record
5%97 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 40% · 42 patients
40%42 patients
Provide Patients Electronic Access to Their Health Information
63%93 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandy Magallan's NPI number?

The NPI number for Sandy Magallan is 1366928236. It was assigned to this individual provider in the NPPES registry on July 13, 2018.

Where is Sandy Magallan located?

Sandy Magallan practices at 1100 E Dove Ave Ste 402, Edinburg, TX 78539. The listed phone number is (956) 362-8125.

What is Sandy Magallan's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Sandy Magallan enrolled in Medicare?

Yes. Sandy Magallan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sandy Magallan accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Sandy Magallan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sandy Magallan affiliated with any hospitals?

According to CMS data, Sandy Magallan is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Sandy Magallan was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.