DR. MICHAEL JOHN JR. MCKENNA (AU.D.) – Audiologist, NPI 1679196687

DR. MICHAEL JOHN JR. MCKENNA (AU.D.) is a healthcare provider. based in Orange city, Florida. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 2346 (FL). The NPI Number for DR. MICHAEL JOHN JR. MCKENNA (AU.D.) is 1679196687

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL JOHN JR. MCKENNA (AU.D.)
NPI
1679196687
Phone
(631) 807-8033
Address
963 TOWN CENTER DR STE 100
Enumeration Date
26 May 2020
Last Update Date
16 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3867749880
Graduation Year
2020 (6 years ago)
PAC ID
9436571791
Group Practice PAC ID
7214830660
Professional Enrollment ID
I20200616000867
Address ID
FL327638254OR963XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

519 QUALIFIED AUDIOLOGIST in FL

Provider Addresses for DR. MICHAEL JOHN JR. MCKENNA (AU.D.)

  • 963 TOWN CENTER DR STE 100

    ORANGE CITY, FL 327638254

    Phone: (631) 807-8033

    Type: Mailing

  • 15280 NW 79TH CT STE 200

    MIAMI LAKES, FL 330165873

    Phone: (305) 557-3724

    Fax: (786) 907-4485

    Type: Mailing

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: 2020-06-16

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
I20200616000867IQualified 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 test262260$0
92588Placement of ear probe for computerized measurement of repeated sounds with interpretation and report251249$0
92550Test for eardrum and muscle function222220$0
92567Test to assess middle ear function4141$0
92540Evaluation and testing for balance with recording2222$0
View full utilization report →

Insurance plans in this area (ZIP 32763)

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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: 7214830660View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YFL
Qualified AudiologistFL
O T O L A R Y N G O L O G YFL
-FL
-PA

Reviews

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Frequently asked questions

What federal number belongs to DR. MICHAEL JOHN JR. MCKENNA (AU.D.)?
The federal identifier for DR. MICHAEL JOHN JR. MCKENNA (AU.D.) is NPI 1679196687.
Does this profile mean DR. MICHAEL JOHN JR. MCKENNA (AU.D.) is currently active?
Yes — DR. MICHAEL JOHN JR. MCKENNA (AU.D.) appears active in the national provider directory.
What does DR. MICHAEL JOHN JR. MCKENNA (AU.D.) treat or focus on?
Patients typically see DR. MICHAEL JOHN JR. MCKENNA (AU.D.) under the specialty Audiologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MICHAEL JOHN JR. MCKENNA (AU.D.)?
The page summarizes Orange City, Florida for DR. MICHAEL JOHN JR. MCKENNA (AU.D.); expand the address list for detail.
How can I contact DR. MICHAEL JOHN JR. MCKENNA (AU.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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