CARVER GRAY DETHLOFF (AU.D.) – Audiologist, NPI 1194700922
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
519 QUALIFIED AUDIOLOGIST in FL
Provider Addresses for CARVER GRAY DETHLOFF (AU.D.)
11 RACETRACK RD NE STE E4
FORT WALTON BEACH, FL 325471867
Phone: (850) 315-4141
Fax: (850) 226-8242
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-07-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070726000485 | I | Qualified Audiologist | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92567 | Test to assess middle ear function | 114 | 111 | $0 |
| 92557 | Comprehensive hearing and speech recognition test | 111 | 109 | $0 |
| 92588 | Placement of ear probe for computerized measurement of repeated sounds with interpretation and report | 71 | 70 | $0 |
Insurance plans in this area (ZIP 32547)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| QUALIFIED AUDIOLOGIST | FL | 92567 | Eardrum testing using ear probe | 315 | 301 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | FL |
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