LAKE SHORE AUDIOLOGY, P C
NPI 1811052939
Audiologist-Hearing Aid Fitter in Orchard Park, NY
About Lake Shore Audiology, P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE SHORE AUDIOLOGY, P C (NPI 1811052939) is a healthcare organization registered as an audiologist-hearing aid fitter in Orchard Park, New York and active in the NPI registry since December 2006. The organization maintains a secondary practice location in Irving and lists Kevin G Flanagan, Audiologist Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Shore Audiology, P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lake Shore Audiology, P C, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lake Shore Audiology, P C's NPI number?
The NPI number for Lake Shore Audiology, P C is 1811052939. It was assigned to this organization in the NPPES registry on December 27, 2006.
Where is Lake Shore Audiology, P C located?
Lake Shore Audiology, P C is located at 3085 Southwestern Blvd Ste 103, Orchard Park, NY 14127. The listed phone number is (716) 674-4188.
What is Lake Shore Audiology, P C's specialty?
The primary specialty registered for this NPI is Audiologist-Hearing Aid Fitter with taxonomy code 237600000X.
Is Lake Shore Audiology, P C enrolled in Medicare?
Yes. Lake Shore Audiology, P C is registered in the Medicare PECOS enrollment system.
When is Lake Shore Audiology, P C's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lake Shore Audiology, P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Qualified Audiologist, reassign their Medicare billing to Lake Shore Audiology, P C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lake Shore Audiology, P C was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Lake Shore Audiology, P C · NPI 1811052939
Audiologist-Hearing Aid Fitter organization in Orchard Park, New York. Organization record, active in the CMS NPPES registry since December 27, 2006.
## Identity
- **NPI:** 1811052939 (Entity type: Organization)
- **Enumerated:** December 27, 2006
- **Primary specialty:** Audiologist-Hearing Aid Fitter · taxonomy 237600000X
- **Organization subpart:** No
- **Authorized official:** Kevin Flanagan, AUDIOLOGIST OWNER
## Practice location
- **Address:** 3085 SOUTHWESTERN BLVD STE 103, Orchard Park, NY 14127-1234
- **Phone:** (716) 674-4188 · **Fax:** (716) 674-4834
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Qualified Audiologist) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 1, 2022
- **Other identifiers:** Other 00011388701; Other 9210249
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Source: [NPI Profile](https://npiprofile.com/npi/1811052939) · Data from the CMS NPPES public registry.