JARED T ANDERSON (AU.D.) – Audiologist, NPI 1609367655

JARED T ANDERSON (AU.D.) is a healthcare provider. based in Paducah, Kentucky. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. The NPI Number for JARED T ANDERSON (AU.D.) is 1609367655

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JARED T ANDERSON (AU.D.)
NPI
1609367655
Phone
(270) 554-6000
Address
4570 PECAN DR STE A
Enumeration Date
25 May 2018
Last Update Date
25 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2705546000
Graduation Year
2018 (8 years ago)
PAC ID
5496006181
Group Practice PAC ID
0941199434
Professional Enrollment ID
I20180919001546
Address ID
KY420016717PA4570XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

148 QUALIFIED AUDIOLOGIST in KY

Provider Addresses for JARED T ANDERSON (AU.D.)

  • 4570 PECAN DR STE A

    PADUCAH, KY 420016717

    Phone: (270) 554-6000

    Fax: (270) 554-6995

    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: 2018-09-19

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
I20180919001546IQualified AudiologistKYTBD

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 test126122$0
92567Test to assess middle ear function115114$0
92587Placement of ear probe for computerized measurement of sound with interpretation and report4948$0
View full utilization report →

Insurance plans in this area (ZIP 42001)

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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: 0941199434View full group profile
NameSpecialtyState
Qualified AudiologistKY
Qualified AudiologistKY

Reviews

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Frequently asked questions

Can I use this page to confirm JARED T ANDERSON (AU.D.)'s NPI?
Yes. JARED T ANDERSON (AU.D.) is listed with NPI 1609367655 in the public NPI dataset.
Does the file indicate JARED T ANDERSON (AU.D.) is practicing under active NPI?
Directory data currently reports JARED T ANDERSON (AU.D.) as active.
What is JARED T ANDERSON (AU.D.)'s primary classification?
Audiologist is the headline specialty for JARED T ANDERSON (AU.D.) here. Clinical services aligned with this taxonomy classification.
Does JARED T ANDERSON (AU.D.) list a practice location?
Patients near Paducah, Kentucky may find JARED T ANDERSON (AU.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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