DR. JEFFERY DAVID REGAL (AU.D.,CCC-A) – Audiologist, NPI 1235203878

DR. JEFFERY DAVID REGAL (AU.D.,CCC-A) is a healthcare provider. based in Niles, Michigan. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.,CCC-A. They hold a License No. 23002023A (IN). The NPI Number for DR. JEFFERY DAVID REGAL (AU.D.,CCC-A) is 1235203878

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFERY DAVID REGAL (AU.D.,CCC-A)
NPI
1235203878
Phone
(269) 684-2324
Address
2440 JEFFREY LN
Enumeration Date
17 November 2006
Last Update Date
20 December 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5742324800
Graduation Year
2005 (21 years ago)
PAC ID
2961424734
Group Practice PAC ID
3779577937
Professional Enrollment ID
I20051221000089
Address ID
IN466353500SO6301XCOMM301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

249 QUALIFIED AUDIOLOGIST in IN

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Provider Addresses for DR. JEFFERY DAVID REGAL (AU.D.,CCC-A)

  • 2440 JEFFREY LN

    NILES, MI 491207706

    Phone: (269) 684-2324

    Type: Mailing

  • Navarre Place, 100, West Navarre Street, South Bend, Saint Joseph County, Indiana, 46617, United States

    SUITE 4430

    SOUTH BEND, IN 466011171

    Phone: (574) 246-1000

    Fax: (574) 246-4000

    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: 2005-12-21

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
I20051221000089IQualified AudiologistINTBD

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 test388387$0
92556Test for ability to detect and repeat spoken words with speech recognition1212$0
View full utilization report →

Insurance plans in this area (ZIP 49120)

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Provider's Procedures

DR. JEFFERY DAVID REGAL (AU.D.,CCC-A) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTIN92552Pure tone air conduction threshold hearing assessment6262
QUALIFIED AUDIOLOGISTIN92567Eardrum testing using ear probe4039

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: 3779577937View full group profile
NameSpecialtyState
Nurse PractitionerIN
-IN
-IN
O B S T E T R I C S/ G Y N E C O L O G YIN
-IN
Family PracticeKY
Family PracticeIN
O P H T H A L M O L O G YIN
Physician AssistantIN
Family PracticeIN

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Frequently asked questions

What is DR. JEFFERY DAVID REGAL (AU.D.,CCC-A)'s NPI number?
DR. JEFFERY DAVID REGAL (AU.D.,CCC-A)'s NPI is 1235203878 — the number used across U.S. healthcare to identify this provider.
Is DR. JEFFERY DAVID REGAL (AU.D.,CCC-A) shown as active in public data?
Registry records indicate DR. JEFFERY DAVID REGAL (AU.D.,CCC-A) maintains an active NPI.
What kind of doctor is DR. JEFFERY DAVID REGAL (AU.D.,CCC-A)?
DR. JEFFERY DAVID REGAL (AU.D.,CCC-A) is associated with Audiologist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JEFFERY DAVID REGAL (AU.D.,CCC-A)?
Travel planning: use Niles, Michigan as the reference point for DR. JEFFERY DAVID REGAL (AU.D.,CCC-A), then confirm.
When was this NPI issued?
Enumeration for DR. JEFFERY DAVID REGAL (AU.D.,CCC-A) is noted as November 17, 2006 where the registry provides it.

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