DR. JON C DOUGLAS AUD
NPI 1922071083
Audiologist in Tampa, FL

Active since February 09, 2006Accepts Medicare Assignment
4202 E FOWLER AVE, TAMPA, FL 33620(813) 821-8038(813) 974-0483 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 20, 2024, Jul 26, 2024, Jun 24, 2024 (3 updates tracked since 2024).

About Dr. Jon C Douglas Aud NPPES

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

DR. JON C DOUGLAS AUD (NPI 1922071083) is an individual audiologist in Tampa, Florida, licensed in Florida (AY2811) and active in the NPI registry since February 2006. He maintains a secondary practice location in Madison and is a graduate of University Of Wisconsin School Of Medicine (2006).

NPPES Registry Identity

NPI1922071083
Entity TypeIndividualMale
Primary Taxonomy231H00000X
Provider Legal NameDR. JON C DOUGLASCredential: AUD
Location Address4202 E FOWLER AVETampa, FL 33620-8000
Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 821-8038 · Fax (813) 974-0483
Fax(813) 974-0483
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2006
Enumeration DateFebruary 9, 2006
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1922071083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Licenses✔ Licensed in FL · AY2811✔ Licensed in WI · 500-156
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.
4202 E FOWLER AVE, Tampa, FL 33620

Secondary Practice Location 1

Location 11975 Willow Dr, University of Wisconsin Speech and Hearing ClinicMadison, WI 53706-1103 · Phone (608) 263-5804

Other Identifiers 4

Medicaid41153000WI
Other60633WI · Dean Health Insurance
OtherE5VHBFL · Blue Cross Blue Shield
Medicaid123109900FL

Accepted Insurance

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. Jon C Douglas 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 ID9638103880
PECOS Enrollment IDI20240725001694

Medicare Billing Reassignment

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

Internal Medicine
13330 USF LAUREL DR, 6TH FLOOR
Tampa, FL 33612
  • Reassigned Medicare billing, Florida enrollment
  • 1,079 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33620 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
$56.00 typical visit price
range $56.00 – $171.84
Typical copayment $14.00 (range $14.00 – $42.96)
Most-billed visit code 99202
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Audiologist
4202 E FOWLER AVE, PCD 1017
TAMPA, FL 33620
Psychiatry & Neurology (Psychiatry)
4202 E FOWLER AVE
TAMPA, FL 33620
Speech-Language Pathologist
4202 E FOWLER AVE, PCD1017
TAMPA, FL 33620
Specialist/Technologist (Athletic Trainer)
4202 E FOWLER AVE
TAMPA, FL 33620
Nurse Anesthetist, Certified Registered
4202 E FOWLER AVE
TAMPA, FL 33620
Preventive Medicine (Public Health & General Preventive Medicine)
4202 E FOWLER AVE, SHS100
TAMPA, FL 33620
Speech-Language Pathologist
4202 E FOWLER AVE, PCD1017
TAMPA, FL 33620
Speech-Language Pathologist
4202 E FOWLER AVE
TAMPA, FL 33620

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 Jon Douglas's NPI number?

The NPI number for Jon Douglas is 1922071083. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Jon Douglas located?

Jon Douglas practices at 4202 E Fowler Ave, Tampa, FL 33620. The listed phone number is (813) 821-8038.

What is Jon Douglas's specialty?

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

Is Jon Douglas enrolled in Medicare?

Yes. Jon Douglas 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 Jon Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Douglas reassigns Medicare benefits to University Medical Service Association Inc (Tampa, FL). 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 Jon Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon Douglas accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and UnitedHealthcare list Jon Douglas 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 Jon Douglas was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.