JACLYN MARIE SOMMERVILLE (AU.D, CCC-A) – Audiologist, NPI 1790936904
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
302 QUALIFIED AUDIOLOGIST in MI
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Provider Addresses for JACLYN MARIE SOMMERVILLE (AU.D, CCC-A)
23233, Nine Mack Drive, Saint Clair Shores, Macomb County, Michigan, 48080, United States
SAINT CLAIR SHORES, MI 480801969
Phone: (586) 498-5000
Fax: (844) 273-2104
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: 2008-11-07
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 |
|---|---|---|---|---|
| I20081107000520 | I | Qualified Audiologist | MI | 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 | 32 | 32 | $0 |
| 92567 | Test to assess middle ear function | 11 | 11 | $0 |
Insurance plans in this area (ZIP 48080)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| QUALIFIED AUDIOLOGIST | MI | 92567 | Eardrum testing using ear probe | 37 | 37 |
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