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MRS. MICHELLE WALLER M.A.CCC-A
NPI 1629169800
Audiologist in Bayshore, NY

Active since September 27, 2006Accepts Medicare Assignment
91.28/100
CMS Quality Rating
375 EAST MAIN STREET STE. 17, BAYSHORE, NY 11706(631) 665-6922 Get Directions Write a Review

NPPES record last updated: August 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Michelle Waller M.a.ccc-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MICHELLE WALLER M.A.CCC-A (NPI 1629169800) is an individual audiologist in Bayshore, New York, licensed in New York (002098-1) and active in the NPI registry since September 2006. She is a graduate of Other (2009).

NPPES Registry Identity

NPI1629169800
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameMRS. MICHELLE WALLERCredential: M.A.CCC-A
Location Address375 EAST MAIN STREET STE. 17Bayshore, NY 11706
Mailing Address251 Lyman RdEast Patchogue, NY 11772-6249 · (631) 286-9366
Phone(631) 665-6922
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 27, 2006
Last NPPES UpdateAugust 20, 2008
✔ NPI 1629169800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in NY · 002098-1
Definition
(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.
375 EAST MAIN STREET STE. 17, Bayshore, NY 11706
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Other Names 1

Professional Name (2)Mrs. Michelle Coppola

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Michelle Waller M.a.ccc-a is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103845920
PECOS Enrollment IDI20051122000033

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test to assess middle ear function 92567
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.
479 services473 patients
Comprehensive hearing and speech recognition test 92557
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.
470 services464 patients
Placement of ear probe for computerized measurement of repeated sounds with interpretation and report 92588
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.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$67.40 typical visit price
range $67.40 – $203.53
Typical copayment $16.85 (range $16.85 – $50.88)
Most-billed visit code 99202
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.16
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Waller's NPI number?

The NPI number for Michelle Waller is 1629169800. It was assigned to this individual provider in the NPPES registry on September 27, 2006. The provider is also known as Mrs. Michelle Coppola.

Where is Michelle Waller located?

Michelle Waller practices at 375 East Main Street Ste. 17, Bayshore, NY 11706. The listed phone number is (631) 665-6922.

What is Michelle Waller's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Michelle Waller enrolled in Medicare?

Yes. Michelle Waller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michelle Waller was last updated on August 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.