DR. DENISE GOODWIN POUNCEY AU.D.
NPI 1477883684
Audiologist in Jackson, MS


Quality Rating: 74.58 out of 100 score

NPI Status: Active since January 11, 2010

Contact Information

2500 N STATE ST
JACKSON, MS
ZIP 39216
Phone: (601) 984-5460

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  • Individual
  • Female
  • Years of Experience 22
  • Audiologist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About DENISE POUNCEY

This page provides the complete NPI Profile along with additional information for Denise Pouncey, a provider established in Jackson, Mississippi with a medical specialization in Audiologist and more than 22 years of experience. She graduated from University Of Florida College Of Medicine in 2004. The healthcare provider is registered in the NPI registry with number 1477883684 assigned on January 2010. The practitioner's primary taxonomy code is 231H00000X with license number A1033 (MS). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1477883684
Provider Name
DR. DENISE GOODWIN POUNCEY AU.D.
Gender
Female
Entity Type
Individual
Location Address
2500 N STATE ST JACKSON, MS 39216
Location Phone
(601) 984-5460
Mailing Address
2500 N STATE ST JACKSON, MS 39216
Mailing Phone
(601) 984-5460
Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year
2004
Is Sole Proprietor?
No
Enumeration Date
01-11-2010
Last Update Date
01-04-2017
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Audiologists like Denise Pouncey 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.
A1033
License State
MS
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:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold (QualChoice) - POS
  • 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
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze + 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
  • Clear Silver - 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
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Essential Bronze 6500 - POS
  • Essential Gold 1500 - POS
  • Freedom Silver 4000 - POS
  • Savings Bronze 7700 - POS
  • Standard Bronze 7500 - POS
  • Standard Gold 1500 - POS
  • Standard Silver 5000 - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
302I641739MEDICARE PIN (08) 
302I645832MEDICARE PIN (08)MS 
P01745474OTHER (01)MSRAILROAD MEDICARE
07131528MEDICAID (05)MS 

Medicare Participation & PECOS Enrollment Status

Denise Pouncey 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: 7113058603

    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: I20100628000275

    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 24 times for 24 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 75 times for 74 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 22 times for 22 patients

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

This is a test called caloric stimulation, used to check your balance function. During this procedure, warm and cool water are gently introduced into your ears. Your eye movements are then observed, as they can indicate issues with balance or inner ear function.

This service was performed 48 times for 48 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 22 times for 22 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 14 times for 14 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $12.91 for a new patient copayment and $16.24 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 39216 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $51.65
  • Minimum New Patient Price $51.65
  • Maximum New Patient Price $159.18
  • Average New Patient Copayment $12.91
  • Minimum New Patient Copayment $12.91
  • Maximum New Patient Copayment $39.79

Established Patients Visit Costs *

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

  • Average Established Patient Price $64.96
  • Minimum Established Patient Price $16.15
  • Maximum Established Patient Price $129.61
  • Average Established Patient Copayment $16.24
  • Minimum Established Patient Copayment $4.03
  • Maximum Established Patient Copayment $32.4

* 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.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 74.58, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 74.58 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 57.77

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 85

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 54.47

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 54.47

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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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.
1477883684
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241471686616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 6 + 8 + 6 + 6 + 1 + 6 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1477883684 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

UNIVERSITY OPHTHALMOLOGY ASSOCIATES

Ophthalmology

2500 N STATE ST
STE B329
JACKSON, MS
ZIP 39216

(601) 815-3931

DR. BRIAN L CRABTREE PHARM.D.

Pharmacist

(Psychiatric)

2500 N STATE ST
JACKSON, MS
ZIP 39216

(601) 351-8013

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

Rehabilitation Unit

2500 N STATE ST
JACKSON, MS
ZIP 39216

(866) 842-7574

DR. JEFFERY D CARRON MD

Otolaryngology

2500 N STATE ST
DEPARTMENT OF OTOLARYNGOLOGY
JACKSON, MS
ZIP 39216

(601) 984-5160

DR. BARRY SAUL RUBEL D.M.D.

Dentist

2500 N STATE ST
JACKSON, MS
ZIP 39216

(601) 984-6030

IRINA V BORISSOVA MD, PHD

Anesthesiology

(Pediatric Anesthesiology)

2500 N STATE ST
DEPT. OF ANESTHESIOLOGY
JACKSON, MS
ZIP 39216

(601) 984-5900

DR. TRACY MICHELLE DELLINGER D.D.S.

Dentist

2500 N STATE ST
UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY
JACKSON, MS
ZIP 39216

(601) 984-6028

WILLIAM HUGH SOREY M.D.

Pediatrics

2500 N STATE ST
JACKSON, MS
ZIP 39216

(601) 815-8010

RAPHAEL CORCORAN SNEED M.D.

Physical Medicine & Rehabilitation

(Pediatric Rehabilitation Medicine)

2500 N STATE ST
JACKSON, MS
ZIP 39216

(601) 984-2940

DR. KEVIN DEL BEN PHD

Psychologist

(Clinical)

2500 N STATE ST
JACKSON, MS
ZIP 39216

(601) 984-5888

MS. VICKY DIANNE MINNINGER CFNP

Nurse Practitioner

2500 N STATE ST
JACKSON, MS
ZIP 39216

(601) 984-6525

DOMENIC P ESPOSITO M.D.

Neurological Surgery

2500 N STATE ST
N703 NEUROSURGERY DEPARTMENT
JACKSON, MS
ZIP 39216

(601) 984-5706

DR. GRAYSON S NORQUIST M.D.

Psychiatry & Neurology

(Psychiatry)

2500 N STATE ST
JACKSON, MS
ZIP 39216

(601) 984-5888

MS. JUDITH ROSEMARY O'JILE PHD

Clinical Neuropsychologist

2500 N STATE ST
JACKSON, MS
ZIP 39216

(601) 984-5888

SAMUEL L. BARNETT M.D.

Neurological Surgery

2500 N STATE ST
N703 NEUROSURGERY DEPARTMENT
JACKSON, MS
ZIP 39216

(601) 984-5706

MRS. JULIE A SCHUMACHER-COFFEY PHD

Psychologist

(Clinical)

2500 N STATE ST
JACKSON, MS
ZIP 39216

(601) 984-5888

DR. HANS-GEORG OTTO BOCK M.D.

Medical Genetics

(Clinical Genetics (M.D.))

2500 N STATE ST
DEPARTMENT OF PREVENTIVE MEDICINE
JACKSON, MS
ZIP 39216

(601) 984-1900

UNIVERSITY PATHOLOGY ASSOCIATES, PLLC

Clinical Medical Laboratory

2500 N STATE ST
JACKSON, MS
ZIP 39216

(601) 984-1530

DR. ELIZABETH ANNE CHRIST M.D.

Pediatrics

(Pediatric Critical Care Medicine)

2500 N STATE ST
JACKSON, MS
ZIP 39216

(601) 815-8173

DR. WILLIAM RICHARD BOYTE M.D.

Pediatrics

(Pediatric Critical Care Medicine)

2500 N STATE ST
JACKSON, MS
ZIP 39216

(601) 815-8173

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477883684, enumerated as an "individual" on January 11, 2010.

The provider is located at 2500 N STATE ST JACKSON, MS 39216 and the phone number is (601) 984-5460.

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.