DR. MAKENZI GWINN (AU.D.) – Audiologist, NPI 1083069488
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
82 QUALIFIED AUDIOLOGIST in ID
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Provider Addresses for DR. MAKENZI GWINN (AU.D.)
Hospital Way, Pocatello, Bannock County, Idaho, 83201, United States
POCATELLO, ID 832015175
Phone: (208) 239-1960
Fax: (208) 478-0076
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: 2016-07-20
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 |
|---|---|---|---|---|
| I20160720000727 | I | Qualified Audiologist | ID | 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 | 115 | 111 | $0 |
| 92557 | Comprehensive hearing and speech recognition test | 106 | 104 | $0 |
| 92540 | Evaluation and testing for balance with recording | 27 | 27 | $0 |
| 92538 | Test to assess balance during warm or cool irrigation in both ears | 15 | 15 | $0 |
| 92553 | Test for hearing various pitches using earphone and device placed against the bone | 12 | 11 | $0 |
Insurance plans in this area (ZIP 83201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| QUALIFIED AUDIOLOGIST | ID | 92567 | Eardrum testing using ear probe | 43 | 42 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| N E U R O S U R G E R Y | WA | |
| Internal Medicine | ID | |
| Thoracic Surgery, Cardiac Surgery | ID | |
| Family Practice | ID | |
| Physician Assistant | ID | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | MI | |
| Physician Assistant | ID | |
| - | ID | |
| Physician Assistant | NY |
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