CARLA PETERSEN (AU.D., CCC-A) – Audiologist, NPI 1003162785

CARLA PETERSEN (AU.D., CCC-A) is a healthcare provider. based in Boston, Massachusetts. specializing in Audiologist. They hold the professional credentials AU.D., CCC-A. They hold a License No. 990 (MA). The NPI Number for CARLA PETERSEN (AU.D., CCC-A) is 1003162785

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
CARLA PETERSEN (AU.D., CCC-A)
NPI
1003162785
Phone
(617) 573-3266
Address
243 CHARLES ST
Enumeration Date
31 July 2012
Last Update Date
8 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085392444
Graduation Year
2012 (14 years ago)
PAC ID
3476703380
Group Practice PAC ID
4486540275
Professional Enrollment ID
I20121030000095
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for CARLA PETERSEN (AU.D., CCC-A)

  • 243 CHARLES ST

    AUDIOLOGY DEPARTMENT

    BOSTON, MA 021143002

    Phone: (617) 573-3266

    Fax: (617) 573-3023

    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: 2012-10-30

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
I20121030000095IQualified AudiologistMATBD

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 test1313$0
View full utilization report →

Insurance plans in this area (ZIP 02114)

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Provider's Procedures

CARLA PETERSEN (AU.D., CCC-A) performs procedures in Audiologist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTMA92567Eardrum testing using ear probe8282

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: 4486540275View full group profile
NameSpecialtyState
O P T O M E T R YMA
O P H T H A L M O L O G YMA
-OH
N E U R O L O G YMA
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YMA
N E U R O L O G YMA
-MA
Diagnostic RadiologyMA
Qualified AudiologistNY

Reviews

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Frequently asked questions

How do payers reference CARLA PETERSEN (AU.D., CCC-A)?
For CARLA PETERSEN (AU.D., CCC-A), use NPI 1003162785 as the unique 10-digit identifier.
Active or inactive — what applies to CARLA PETERSEN (AU.D., CCC-A)?
You should see CARLA PETERSEN (AU.D., CCC-A) as active in CMS-hosted NPPES data.
What clinical focus is listed for CARLA PETERSEN (AU.D., CCC-A)?
At a glance, CARLA PETERSEN (AU.D., CCC-A) is tied to Audiologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CARLA PETERSEN (AU.D., CCC-A)?
Travel planning: use Boston, Massachusetts as the reference point for CARLA PETERSEN (AU.D., CCC-A), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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