MELISSA ROBYN ANDERSON AUD
NPI 1427461185
Audiologist-Hearing Aid Fitter in Durham, NC
NPI Status: Active since June 10, 2014
Contact Information
5501 FORTUNES RIDGE DR STE A
DURHAM, NC
ZIP 27713
Phone: (919) 419-1449
- Individual
- Female
- Years of Experience 12
- Audiologist-Hearing Aid Fitter
- Accepts Insurance
- Accepts Medicare Approved Payment
About MELISSA ANDERSON
This page provides the complete NPI Profile along with additional information for Melissa Anderson, a provider established in Durham, North Carolina with a medical specialization in Audiologist-hearing Aid Fitter and more than 12 years of experience. She graduated from University Of Florida College Of Medicine in 2014. The healthcare provider is registered in the NPI registry with number 1427461185 assigned on June 2014. The practitioner's primary taxonomy code is 237600000X with license number 12726 (NC). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1427461185
- Provider Name
- MELISSA ROBYN ANDERSON AUD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5501 FORTUNES RIDGE DR STE A DURHAM, NC 27713
- Location Phone
- (919) 419-1449
- Mailing Address
- 5501 FORTUNES RIDGE DR STE A DURHAM, NC 27713
- Mailing Phone
- (919) 419-1449
- Mailing Fax
- Medical School Name
- UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
- Graduation Year
- 2014
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-10-2014
- Last Update Date
- 10-17-2024
- Code Navigator
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-Hearing Aid Fitter
- Taxonomy Code
- 237600000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- 12726
- License State
- NC
- Taxonomy Description
- An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | 12726 (NC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
- Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance - EPO
- Blue Home Bronze Standard | with UNC Health Alliance - EPO
- Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance - EPO
- Blue Home Gold Standard | with UNC Health Alliance - EPO
- Blue Home Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance - EPO
- Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
- Blue Home Silver Standard | with UNC Health Alliance - EPO
- Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Melissa Anderson 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: 9739306853
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: I20201106001446
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.
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $13.53 for a new patient copayment and $16.93 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 27713 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99202
- Average New Patient Price $54.12
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $13.53
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.72
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $16.93
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* 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.
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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. | |||||||||
| 1 | 4 | 2 | 7 | 4 | 6 | 1 | 1 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 8 | 6 | 2 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 8 + 6 + 2 + 1 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1427461185 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
DR. MAEGAN K EVANS PH.D. CCC-SLP
Speech-Language Pathologist
5501 FORTUNES RIDGE DR STE A
DURHAM, NC
ZIP 27713
STACEY LYNN GOEBEL KANE AU.D.
Audiologist
5501 FORTUNES RIDGE DR STE A
DURHAM, NC
ZIP 27713
JENNIFER WEINSTOCK WOODARD AUD
Audiologist-Hearing Aid Fitter
5501 FORTUNES RIDGE DR STE A
DURHAM, NC
ZIP 27713
ERIN MICHELLE THOMPSON SLP
Speech-Language Pathologist
5501 FORTUNES RIDGE DR STE A
DURHAM, NC
ZIP 27713
DAKOTA MICHAEL SHARP AU.D., CCC-A
Audiologist-Hearing Aid Fitter
5501 FORTUNES RIDGE DR STE A
DURHAM, NC
ZIP 27713
ERIKA BEALS GAGNON AUD
Audiologist-Hearing Aid Fitter
5501 FORTUNES RIDGE DR STE A
DURHAM, NC
ZIP 27713
DR. LISA REGINA PARK AUD
Audiologist-Hearing Aid Fitter
5501 FORTUNES RIDGE DR STE A
DURHAM, NC
ZIP 27713
MRS. SARAH VANSELOUS SPENCER M.S., CCC-SLP
Speech-Language Pathologist
5501 FORTUNES RIDGE DR STE A
DURHAM, NC
ZIP 27713
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427461185, enumerated as an "individual" on June 10, 2014.
The provider is located at 5501 FORTUNES RIDGE DR STE A DURHAM, NC 27713 and the phone number is (919) 419-1449.
Audiologist-Hearing Aid Fitter with taxonomy code 237600000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC and Molina. Please consult your insurance carrier or call the provider to verify.
