DOUGLAS K WORTHINGTON AUD
NPI 1467460246
Audiologist in Provo, UT

Medicare Participation & PECOS Enrollment Status

Douglas Worthington 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: 6103829585

  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: I20120523000636

  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 124 times for 113 patients

Evaluation and testing for balance with recording

This procedure involves a series of evaluations and tests to analyze your balance. Recordings are made to track your performance, helping identify any issues. This aids in determining the best treatment for any balance disorders you may have.

This service was performed 35 times for 35 patients

Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report

This procedure examines how your brain responds to sound, aiding in the diagnosis of nervous system disorders. It involves playing sounds and monitoring brain activity, followed by an expert interpretation and report.

This service was performed 19 times for 19 patients

Test for abnormal eye movement using a rotating chair

A rotating chair test helps doctors assess balance issues. You'll sit in a motorized chair that spins at controlled speeds. As the chair moves, your eye movements are monitored to identify any irregularities, which can indicate balance disorders.

This service was performed 24 times for 23 patients

Test for abnormal eye movement with recording

This procedure checks for unusual eye movement. It involves recording your eye movements while you follow a light or object with your eyes. This helps identify any issues with how your eyes move or focus, aiding in the diagnosis of certain conditions.

This service was performed 16 times for 16 patients

Test for balance and posture

A balance and posture test assesses your ability to maintain steady positioning and coordination. It involves simple tasks like standing on one foot or walking in a straight line. This helps identify any issues with your balance system, which can affect daily activities.

This service was performed 26 times for 24 patients

Test to assess balance during warm or cool irrigation in both ears

This procedure, known as caloric testing, helps evaluate balance. Warm or cool water or air is gently introduced into your ears. This stimulates inner ear sensors, causing eye movements that can indicate balance issues. It's non-invasive and safe.

This service was performed 27 times for 27 patients

Test to assess electrical potentials generated in the inner ear as a result of sound stimulation

This test, known as an auditory brainstem response test, checks how your inner ear responds to sound. It measures the electrical signals your ear sends to your brain when it hears a noise. It's a simple, non-invasive procedure that helps identify hearing issues.

This service was performed 24 times for 23 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 118 times for 107 patients

Use of electrodes during balance testing

Balance testing with electrodes involves attaching small sensors to your skin. These sensors record your body's responses to various balance tests. They help in assessing your balance and coordination by measuring your body's electrical activity as you perform specific tasks.

This service was performed 33 times for 33 patients

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $13.58 for a new patient copayment and $17 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 84604 ZIP code area.

* 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 DOUGLAS K WORTHINGTON AUD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions