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JUSTIN NICHOLAS MCGRATH AUD.
NPI 1730583758
Audiologist in Concord, NC

Active since October 20, 2014Accepts Medicare Assignment
95.35/100
CMS Quality Rating
645 AMALIA ST NE, CONCORD, NC 28025(704) 295-3255 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2024, Apr 27, 2021, Aug 26, 2016 and 1 more (4 updates tracked since 2016).

About Justin Nicholas Mcgrath Aud. NPPES

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

JUSTIN NICHOLAS MCGRATH AUD. (NPI 1730583758) is an individual audiologist in Concord, North Carolina, licensed in North Carolina (12068) and active in the NPI registry since October 2014. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1730583758
Entity TypeIndividualMale
Primary Taxonomy231H00000X
Provider Legal NameJUSTIN NICHOLAS MCGRATHCredential: AUD.
Location Address645 AMALIA ST NEConcord, NC 28025-2434
Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000
Phone(704) 295-3255
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 20, 2014
Last NPPES UpdateDecember 13, 20244 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1730583758 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 NC · 12068
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.
645 AMALIA ST NE, Concord, NC 28025
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Other Identifiers 2

MedicaidSAT017SC
OtherQ54040ANC · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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

Justin Nicholas Mcgrath Aud. 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 ID840501862
PECOS Enrollment IDI20160830002947

Areas of Expertise CMS Part B claims 2

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.

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.
261 services251 patients
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.
211 services201 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$54.12 typical visit price
range $54.12 – $165.09
Typical copayment $13.53 (range $13.53 – $41.27)
Most-billed visit code 99202
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES KENNETH DZIADZIOLA MD
Otolaryngology
645 AMALIA ST NE
CONCORD, NC 28025
Cabarrus County (704) 295-3255
ALLISON MCALPINE BAKER MD
Ophthalmology
645 AMALIA ST NE
CONCORD, NC 28025
Cabarrus County (704) 295-3255
JOSHUA RHEINBOLT MD
Ophthalmology
645 AMALIA ST NE
CONCORD, NC 28025
Cabarrus County (704) 295-3255
ALLISON MARIE IVAN PA-C
Physician Assistant
645 AMALIA ST NE
CONCORD, NC 28025
Cabarrus County (704) 295-3255
JULIANA MARIE HAGER
Audiologist
645 AMALIA ST NE
CONCORD, NC 28025
Cabarrus County (704) 295-3255
NICHOLAS STOWELL MD
Otolaryngology
645 AMALIA ST NE
CONCORD, NC 28025
Cabarrus County (704) 295-3255
SUSAN YANIK
Otolaryngology
645 AMALIA ST NE
CONCORD, NC 28025
Cabarrus County (704) 295-3255
DR. JAMIE REBECCA SCAGLIONE M.D.
Otolaryngology
645 AMALIA ST NE
CONCORD, NC 28025
Cabarrus County (704) 295-3255

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 Justin Mcgrath's NPI number?

The NPI number for Justin Mcgrath is 1730583758. It was assigned to this individual provider in the NPPES registry on October 20, 2014.

Where is Justin Mcgrath located?

Justin Mcgrath practices at 645 Amalia St NE, Concord, NC 28025. The listed phone number is (704) 295-3255.

What is Justin Mcgrath's specialty?

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

Is Justin Mcgrath enrolled in Medicare?

Yes. Justin Mcgrath 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.

What insurance does Justin Mcgrath accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Justin Mcgrath as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Mcgrath was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.