DR. HAILEY BALDWIN MCSWAIN AU.D.
NPI 1457976136
Audiologist in Covington, LA

NPI Status: Active since June 09, 2020

Contact Information

1550 OCHSNER BLVD
COVINGTON, LA
ZIP 70433
Phone: (985) 327-1987
Fax: (985) 327-1938

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  • Individual
  • Female
  • Years of Experience 6
  • Audiologist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About HAILEY MCSWAIN

This page provides the complete NPI Profile along with additional information for Hailey Mcswain, a provider established in Covington, Louisiana with a medical specialization in Audiologist and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1457976136 assigned on June 2020. The practitioner's primary taxonomy code is 231H00000X with license number 8548 (LA). The provider is registered as an individual and her NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1457976136
Provider Name
DR. HAILEY BALDWIN MCSWAIN AU.D.
Gender
Female
Entity Type
Individual
Location Address
1550 OCHSNER BLVD COVINGTON, LA 70433
Location Phone
(985) 327-1987
Location Fax
(985) 327-1938
Mailing Address
1550 OCHSNER BLVD COVINGTON, LA 70433
Mailing Phone
(985) 327-1987
Mailing Fax
(985) 327-1938
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
Yes
Enumeration Date
06-09-2020
Last Update Date
09-18-2024
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Audiologists like Hailey Mcswain 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.
8548
License State
LA
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.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • 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
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete 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 Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
  • Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
  • Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
  • Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3400 - PPO
  • Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (L) - POS
  • Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (N) - POS
  • Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (S) - POS
  • Blue Connect Copay (PCP) 50/50 $7500 Standardized (H) HSA Eligible - POS
  • Blue Connect Copay (PCP) 50/50 $7500 Standardized (L) HSA Eligible - POS
  • Blue Connect Copay (PCP) 50/50 $7500 Standardized (N) HSA Eligible - POS
  • Blue Connect Copay (PCP) 50/50 $7500 Standardized (S) HSA Eligible - POS
  • Blue Connect Copay (PCP) 60/40 $6000 Standardized (L) - POS
  • Blue Connect Copay (PCP) 60/40 $6000 Standardized (N) - POS
  • Blue Connect Copay (PCP) 60/40 $6000 Standardized (S) - POS

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

Medicare Participation & PECOS Enrollment Status

Hailey Mcswain 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: 3173948502

    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: I20200803001196

    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 25 times for 25 patients

Placement of ear probe for computerized measurement of repeated sounds with interpretation and report

This procedure involves placing a probe in your ear to measure how it responds to repeated sounds. The data is then interpreted by a computer to assess your hearing health. The findings are compiled into a report for further evaluation.

This service was performed 27 times for 27 patients

Test for abnormal eye movement using 3 positions with recording

This test checks for unusual eye movements. You'll be asked to look in three different directions while a device records your eye movements. It helps identify any eye muscle or nerve issues. It's non-invasive and painless.

This service was performed 13 times for 11 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 27 times for 27 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $13.35 for a new patient copayment and $16.76 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 70433 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $53.43
  • Minimum New Patient Price $53.43
  • Maximum New Patient Price $164.73
  • Average New Patient Copayment $13.35
  • Minimum New Patient Copayment $13.35
  • Maximum New Patient Copayment $41.18

Established Patients Visit Costs *

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

  • Average Established Patient Price $67.06
  • Minimum Established Patient Price $16.64
  • Maximum Established Patient Price $133.62
  • Average Established Patient Copayment $16.76
  • Minimum Established Patient Copayment $4.16
  • Maximum Established Patient Copayment $33.4

* 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 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 1457976136, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
6
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 5 → 10 → 1 9 → 18 → 9 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 0 + 7 + 1 + 8 + 7 + 1 + 2 + 1 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1457976136.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Physical Therapy Assistant
1550 OCHSNER BLVD
COVINGTON, LA 70433
Physical Therapist (Orthopedic)
1550 OCHSNER BLVD
COVINGTON, LA 70433
Otolaryngology
1550 OCHSNER BLVD
COVINGTON, LA 70433
Otolaryngology
1550 OCHSNER BLVD
COVINGTON, LA 70433
Nurse Practitioner (Family)
1550 OCHSNER BLVD
COVINGTON, LA 70433

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457976136, enumerated as an "individual" on June 09, 2020.

The provider is located at 1550 OCHSNER BLVD COVINGTON, LA 70433 and the phone number is (985) 327-1987.

Audiologist with taxonomy code 231H00000X.

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