DR. JOSEPH M PADENI AU.D.
NPI 1376737643
Audiologist in St Petersburg, FL

NPI Status: Active since August 30, 2007

Contact Information

1201 5TH AVE N
SUITE 304
ST PETERSBURG, FL
ZIP 33705
Phone: (727) 820-7708
Fax: (727) 820-7768

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  • Individual
  • Male
  • Years of Experience 23
  • Audiologist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About JOSEPH PADENI

This page provides the complete NPI Profile along with additional information for Joseph Padeni, a provider established in St Petersburg, Florida with a medical specialization in Audiologist and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1376737643 assigned on August 2007. The practitioner's primary taxonomy code is 231H00000X with license number AY802 (FL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1376737643
Provider Name
DR. JOSEPH M PADENI AU.D.
Gender
Male
Entity Type
Individual
Location Address
1201 5TH AVE N SUITE 304 ST PETERSBURG, FL 33705
Location Phone
(727) 820-7708
Location Fax
(727) 820-7768
Mailing Address
1201 5TH AVE N STE 304 ST PETERSBURG, FL 33705
Mailing Phone
(727) 820-7708
Mailing Fax
(727) 820-7768
Medical School Name
OTHER
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
08-30-2007
Last Update Date
03-30-2022
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Audiologists like Joseph Padeni 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.

Location Map

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.
AY802
License State
FL
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:

  • Complete VALUE Gold - HMO
  • Focused VALUE Silver - HMO
  • Focused VALUE Silver + Vision + Adult Dental - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Standard Silver VALUE + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Clarity VALUE Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete VALUE Gold - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite VALUE Bronze - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Focused VALUE Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze VALUE - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO

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

Medicare Participation & PECOS Enrollment Status

Joseph Padeni 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.

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: 9739243403

    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: I20090123000430

    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.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Comprehensive hearing and speech recognition test

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.

This service was performed 437 times for 426 patients

Test for eardrum and muscle function

This test assesses the health of your eardrum and muscles linked to hearing. A small device is placed in your ear that creates pressure changes and sounds. Your ear's responses are recorded to determine if they are functioning properly.

This service was performed 208 times for 207 patients

Test to assess middle ear function

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.

This service was performed 212 times for 211 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $14 for a new patient copayment and $17.51 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 33705 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99202

  • Average New Patient Price $56
  • Minimum New Patient Price $56
  • Maximum New Patient Price $171.84
  • Average New Patient Copayment $14
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.04
  • Minimum Established Patient Price $17.57
  • Maximum Established Patient Price $139.16
  • Average Established Patient Copayment $17.51
  • Minimum Established Patient Copayment $4.39
  • Maximum Established Patient Copayment $34.79

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. JOSEPH M PADENI AU.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376737643, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 1 + 4 + 3 + 1 + 4 + 6 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1376737643.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
1201 5TH AVE N, SUITE 208
ST PETERSBURG, FL 33705
Internal Medicine (Nephrology)
1201 5TH AVE N, STE 302
ST PETERSBURG, FL 33705
Internal Medicine (Nephrology)
1201 5TH AVE N, STE 302
ST PETERSBURG, FL 33705
Internal Medicine (Nephrology)
1201 5TH AVE N, STE 302
ST PETERSBURG, FL 33705
Internal Medicine
1201 5TH AVE N, SUITE 410
ST PETERSBURG, FL 33705
Family Medicine
1201 5TH AVE N, #409
ST PETERSBURG, FL 33705
Internal Medicine
1201 5TH AVE N, SUITE 410
ST PETERSBURG, FL 33705
Internal Medicine (Nephrology)
1201 5TH AVE N, SUITE 410
ST PETERSBURG, FL 33705
Neuromusculoskeletal Medicine, Sports Medicine
1201 5TH AVE N
ST PETERSBURG, FL 33705
Psychiatry & Neurology (Psychiatry)
1201 5TH AVE N, SUITE 305
ST PETERSBURG, FL 33705
Internal Medicine
1201 5TH AVE N, SUITE 408
ST PETERSBURG, FL 33705
Physician Assistant
1201 5TH AVE N
ST PETERSBURG, FL 33705
Durable Medical Equipment & Medical Supplies
1201 5TH AVE N, SUITE 505
ST PETERSBURG, FL 33705
Internal Medicine
1201 5TH AVE N, SUITE 410
ST PETERSBURG, FL 33705
Internal Medicine (Nephrology)
1201 5TH AVE N, SUITE 302
ST PETERSBURG, FL 33705
Family Medicine
1201 5TH AVE N, STE #300
SAINT PETERSBURG, FL 33705
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1201 5TH AVE N, STE 304
ST PETERSBURG, FL 33705
Neurological Surgery
1201 5TH AVE N, SUITE 210
ST PETERSBURG, FL 33705
Clinic/Center (Primary Care)
1201 5TH AVE N, SUITE 412
ST PETERSBURG, FL 33705
Family Medicine
1201 5TH AVE N, SUITE 401
ST PETERSBURG, FL 33705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376737643, enumerated as an "individual" on August 30, 2007.

The provider is located at 1201 5TH AVE N SUITE 304 ST PETERSBURG, FL 33705 and the phone number is (727) 820-7708.

Audiologist with taxonomy code 231H00000X.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.