DR. SARA MARIE SOMMERS AUD
NPI 1659933893
Audiologist in Everett, WA
NPI Status: Active since July 08, 2019
Contact Information
3125 COLBY AVE STE J
EVERETT, WA
ZIP 98201
Phone: (425) 791-3093
Fax: (425) 791-3094
- Individual
- Female
- Years of Experience 7
- Audiologist
- Accepts Insurance
- Accepts Medicare Approved Payment
About SARA SOMMERS
This page provides the complete NPI Profile along with additional information for Sara Sommers, a provider established in Everett, Washington with a medical specialization in Audiologist and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1659933893 assigned on July 2019. The practitioner's primary taxonomy code is 231H00000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1659933893
- Provider Name
- DR. SARA MARIE SOMMERS AUD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3125 COLBY AVE STE J EVERETT, WA 98201
- Location Phone
- (425) 791-3093
- Location Fax
- (425) 791-3094
- Mailing Address
- 3125 COLBY AVE STE J EVERETT, WA 98201
- Mailing Phone
- (425) 791-3093
- Mailing Fax
- (425) 791-3094
- Medical School Name
- OTHER
- Graduation Year
- 2019
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-08-2019
- Last Update Date
- 07-29-2025
- Code Navigator
Audiologists like Sara Sommers 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
Secondary Locations
- 21911 76th Ave W Ste 211
Edmonds, WA 98026
(425) 775-6651 - 515 Minor Ave Ste 150
Seattle, WA 98104
(425) 775-6651
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
- 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.
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 | 231HA2400X | Speech, Language and Hearing Service Providers | Audiologist | |
| 2 | 231HA2500X | Speech, Language and Hearing Service Providers | Audiologist | |
| 3 | 237600000X | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
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 |
|---|---|---|---|
| 431178 | OTHER (01) | WA | WA L&I |
| 2170607 | MEDICAID (05) | WA |
Medicare Participation & PECOS Enrollment Status
Sara Sommers 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: 1759716400
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: I20200127001769
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.
Analysis and reprogramming of inner ear implant (7 years or older)
Comprehensive hearing and speech recognition test
Evaluation of hearing function related to surgically implanted hearing device, each additional 15 minutes
Evaluation of hearing function related to surgically implanted hearing device, first hour
Test for hearing various pitches using earphone
Test for hearing various pitches using earphone and device placed against the bone
Test to assess middle ear function
An analysis and reprogramming of an inner ear implant involves checking the device's performance and adjusting its settings for optimal hearing. This non-invasive procedure helps ensure the implant continues to meet the patient's hearing needs.
This service was performed 51 times for 29 patientsA 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 135 times for 133 patientsThis procedure assesses how well your surgically implanted hearing device is working. It involves testing your hearing abilities for every additional 15 minutes. It helps in making necessary adjustments to improve your hearing experience.
This service was performed 48 times for 15 patientsThis procedure assesses how well your surgically implanted hearing device is working. It involves a series of tests conducted over an hour to measure your hearing ability and device performance. It's a crucial step in ensuring your hearing health.
This service was performed 50 times for 41 patientsThis is a hearing test where earphones are worn to detect different pitch levels. Sounds of various frequencies are played, and you indicate when you hear them. This helps evaluate your hearing ability. It's safe, comfortable, and non-invasive.
This service was performed 12 times for 12 patientsThis is a hearing test that checks your ability to hear different pitches or frequencies. It involves wearing earphones and placing a device against your bone, usually behind the ear. It helps identify any hearing issues you might have.
This service was performed 12 times for 12 patientsA 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 32 times for 32 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $14.31 for a new patient copayment and $17.82 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 98201 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99202
- Average New Patient Price $57.27
- Minimum New Patient Price $57.27
- Maximum New Patient Price $172.8
- Average New Patient Copayment $14.31
- Minimum New Patient Copayment $14.31
- Maximum New Patient Copayment $43.2
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.29
- Minimum Established Patient Price $18.56
- Maximum Established Patient Price $141.11
- Average Established Patient Copayment $17.82
- Minimum Established Patient Copayment $4.64
- Maximum Established Patient Copayment $35.27
* 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 1659933893, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 77 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659933893, enumerated as an "individual" on July 08, 2019.
The provider is located at 3125 COLBY AVE STE J EVERETT, WA 98201 and the phone number is (425) 791-3093.
Audiologist with taxonomy code 231H00000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska,. Please consult your insurance carrier or call the provider to verify.
