SHELBY J BERRY (AUD) – Audiologist-Hearing Aid Fitter, NPI 1013585074
Audiologist-Hearing Aid Fitter
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
401 QUALIFIED AUDIOLOGIST in IL
Provider Addresses for SHELBY J BERRY (AUD)
PO BOX 9727
PEORIA, IL 616129727
Phone: (309) 886-9172
Type: Mailing
3525 N UNIVERSITY ST
PEORIA, IL 616041324
Phone: (855) 476-5837
Fax: (309) 509-4045
Type: Location
816 S ELDORADO RD
STE 1
BLOOMINGTON, IL 617046035
Phone: (309) 370-8812
Type: Mailing
113 E CARROLL ST
MACOMB, IL 614552222
Phone: (309) 421-0819
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: 2021-09-01
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 |
|---|---|---|---|---|
| I20210901001245 | I | Qualified Audiologist | IL | 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 |
|---|---|---|---|---|
| 92557 | Comprehensive hearing and speech recognition test | 19 | 19 | $0 |
| 92567 | Test to assess middle ear function | 14 | 14 | $0 |
Insurance plans in this area (ZIP 61612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Clinical Nurse Specialist (Cns) | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Family Practice | GA | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physical Therapist In Private Practice | IL |
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