MRS. LORI LEAH BUBENHEIMER (AUD) – Audiologist, NPI 1295794311

MRS. LORI LEAH BUBENHEIMER (AUD) is a healthcare provider. based in Jacksonville, Florida. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. AY727 (FL). The NPI Number for MRS. LORI LEAH BUBENHEIMER (AUD) is 1295794311

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LORI LEAH BUBENHEIMER (AUD)
NPI
1295794311
Phone
(904) 396-1725
Address
11945 SAN JOSE BLVD
Enumeration Date
18 March 2006
Last Update Date
8 December 2021

Doctor Profile

Medical School Name
MEMPHIS HOSPITAL MEDICAL COLLEGE
Secondary Phone
9048800911
Graduation Year
1994 (32 years ago)
PAC ID
5597820423
Group Practice PAC ID
2769381391
Professional Enrollment ID
I20090210000349
Address ID
FL322161409JA4203XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

519 QUALIFIED AUDIOLOGIST in FL

Provider Addresses for MRS. LORI LEAH BUBENHEIMER (AUD)

  • San Jose Boulevard, San Jose, Jacksonville, Duval County, Florida, 32217, United States

    JACKSONVILLE, FL 322231613

    Phone: (904) 396-1725

    Fax: (904) 396-4893

    Type: Mailing

  • 4203 BELFORT RD STE 340

    JACKSONVILLE, FL 322161409

    Phone: (904) 880-0911

    Fax: (904) 880-9388

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-02-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090210000349IQualified AudiologistFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92557Comprehensive hearing and speech recognition test267260$0
92567Test to assess middle ear function220209$0
92550Test for eardrum and muscle function5756$0
92587Placement of ear probe for computerized measurement of sound with interpretation and report4747$0
92540Evaluation and testing for balance with recording2222$0
View full utilization report →

Insurance plans in this area (ZIP 32223)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769381391View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YPA
Otolaryngology, General SurgeryFL
O T O L A R Y N G O L O G YKY
General Surgery, Critical Care (Intensivists)FL
Orthopedic SurgeryFL
Otolaryngology, Sleep MedicineFL
General SurgeryFL
General SurgeryFL
O P H T H A L M O L O G YFL
Pain ManagementFL

Reviews

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Frequently asked questions

How do payers reference MRS. LORI LEAH BUBENHEIMER (AUD)?
For MRS. LORI LEAH BUBENHEIMER (AUD), use NPI 1295794311 as the unique 10-digit identifier.
Would MRS. LORI LEAH BUBENHEIMER (AUD) appear as active to a payer?
You can treat MRS. LORI LEAH BUBENHEIMER (AUD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MRS. LORI LEAH BUBENHEIMER (AUD)'s focus?
For MRS. LORI LEAH BUBENHEIMER (AUD), the primary taxonomy reads as Audiologist. Clinical services aligned with this taxonomy classification.
Where in Florida is MRS. LORI LEAH BUBENHEIMER (AUD) registered?
Use Jacksonville, Florida as the headline location for MRS. LORI LEAH BUBENHEIMER (AUD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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