LEIGH ANN TACKABERRY (M.A., F-AAA) – Audiologist-Hearing Aid Fitter, NPI 1316053523

LEIGH ANN TACKABERRY (M.A., F-AAA) is a healthcare provider. based in Rockford, Illinois. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials M.A., F-AAA. The NPI Number for LEIGH ANN TACKABERRY (M.A., F-AAA) is 1316053523

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
LEIGH ANN TACKABERRY (M.A., F-AAA)
NPI
1316053523
Phone
(815) 399-5279
Address
435 N MULFORD RD STE 10
Enumeration Date
21 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8153995279
Graduation Year
2009 (17 years ago)
PAC ID
9638102312
Group Practice PAC ID
1557394236
Professional Enrollment ID
I20050914000181
Address ID
IL611075100RO435XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

401 QUALIFIED AUDIOLOGIST in IL

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Provider Addresses for LEIGH ANN TACKABERRY (M.A., F-AAA)

  • North Mulford Road, Loves Park, Rockford, Winnebago County, Illinois, 61111, United States

    ROCKFORD, IL 611075100

    Phone: (815) 399-5279

    Fax: (815) 399-3764

    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.

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: 2005-09-14

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
I20050914000181IQualified AudiologistILTBD

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 test8484$0
View full utilization report →

Insurance plans in this area (ZIP 61107)

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Provider's Procedures

LEIGH ANN TACKABERRY (M.A., F-AAA) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTIL92567Eardrum testing using ear probe3130

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: 1557394236View full group profile
NameSpecialtyState
Qualified AudiologistIL

Reviews

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Frequently asked questions

Is there an official ID for LEIGH ANN TACKABERRY (M.A., F-AAA) in U.S. healthcare records?
The official identifier for LEIGH ANN TACKABERRY (M.A., F-AAA) is NPI 1316053523.
Would LEIGH ANN TACKABERRY (M.A., F-AAA) appear as active to a payer?
You can treat LEIGH ANN TACKABERRY (M.A., F-AAA) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe LEIGH ANN TACKABERRY (M.A., F-AAA)'s focus?
For LEIGH ANN TACKABERRY (M.A., F-AAA), the primary taxonomy reads as Audiologist-Hearing Aid Fitter. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LEIGH ANN TACKABERRY (M.A., F-AAA)?
Travel planning: use Rockford, Illinois as the reference point for LEIGH ANN TACKABERRY (M.A., F-AAA), then confirm.
When was this NPI issued?
Enumeration for LEIGH ANN TACKABERRY (M.A., F-AAA) is noted as August 21, 2006 where the registry provides it.

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