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DR. MONA MARIE DWORSACK AU.D., CCC-A, FAAA
NPI 1871263475
Audiologist in Peoria, IL

Active since September 15, 2021Accepts Medicare Assignment
7301 N KNOXVILLE AVE, PEORIA, IL 61614(309) 589-8051(309) 689-0312 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2023, Sep 15, 2021 (2 updates tracked since 2021).

About Dr. Mona Marie Dworsack Au.d., Ccc-a, Faaa NPPES

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

DR. MONA MARIE DWORSACK AU.D., CCC-A, FAAA (NPI 1871263475) is an individual audiologist in Peoria, Illinois, licensed in Illinois (147.001835) and active in the NPI registry since September 2021. She maintains a secondary practice location in Peoria and is a graduate of Other (2004).

NPPES Registry Identity

NPI1871263475
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameDR. MONA MARIE DWORSACKCredential: AU.D., CCC-A, FAAA
Location Address7301 N KNOXVILLE AVEPeoria, IL 61614-2017
Mailing Address580 Howard AveSomerset, NJ 08873-1113 · (309) 338-4605
Phone(309) 589-8051
Fax(309) 689-0312
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 15, 2021
Last NPPES UpdateJuly 21, 20252 updates tracked since enumeration
NPPES CertifiedJuly 21, 2025
✔ NPI 1871263475 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 IL · 147.001835
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.
7301 N KNOXVILLE AVE, Peoria, IL 61614
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Secondary Practice Location 1

Location 16809 N Knoxville AvePeoria, IL 61614-2812 · Phone (309) 589-8051 · Fax (309) 689-0312

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mona Marie Dworsack Au.d., Ccc-a, Faaa 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 ID8729461298
PECOS Enrollment IDI20220817000122

Medicare Billing Reassignment

Medicare enrollment records show Mona Dworsack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peoria Ear, Nose And Throat Group, S.C.
Same address
Otolaryngology
7301 N KNOXVILLE AVE
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Peoria Ear Nose And Throat Group Sc
  • 16 clinicians in this Medicare group
NPI 1952380628 (309) 589-5900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
184 services183 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.
183 services181 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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
$54.80 typical visit price
range $54.80 – $168.44
Typical copayment $13.70 (range $13.70 – $42.11)
Most-billed visit code 99202
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 20

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

MRS. HOLLY J DEMICHELIS MA
Audiologist-Hearing Aid Fitter
7301 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 589-5900
TINA MARIE LEMAN MS
Audiologist
7301 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 589-5900
SHEILA DELK MS
Audiologist
7301 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 589-5900
DR. JACEY GAIL HOEKSTRA AUD
Audiologist
7301 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 589-5900
FACIAL PLASTIC & LASER SURGERY
Clinic/Center
7301 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 589-3233
RENAE SPRINGER APN
Nurse Practitioner (Adult Health)
7301 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 589-5900
JULIE A SIDAK MS
Audiologist-Hearing Aid Fitter
7301 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 589-5900
JILL ANNE PRUVOST M.S., CCC-A
Audiologist
7301 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 589-5900

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 Mona Dworsack's NPI number?

The NPI number for Mona Dworsack is 1871263475. It was assigned to this individual provider in the NPPES registry on September 15, 2021.

Where is Mona Dworsack located?

Mona Dworsack practices at 7301 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 589-8051.

What is Mona Dworsack's specialty?

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

Is Mona Dworsack enrolled in Medicare?

Yes. Mona Dworsack 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.

Which organization bills Medicare for Mona Dworsack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mona Dworsack reassigns Medicare benefits to Peoria Ear, Nose And Throat Group, S.C. (Peoria, IL). The 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 Mona Dworsack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mona Dworsack was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.