JODY MEDVEDIK (M.S.,CCC-A) – Audiologist, NPI 1851413462

JODY MEDVEDIK (M.S.,CCC-A) is a healthcare provider. based in Dearborn, Michigan. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials M.S.,CCC-A. They hold a License No. A.02414 (OH). The NPI Number for JODY MEDVEDIK (M.S.,CCC-A) is 1851413462

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
JODY MEDVEDIK (M.S.,CCC-A)
NPI
1851413462
Phone
(313) 562-4485
Address
2421 MONROE ST
Enumeration Date
4 April 2007
Last Update Date
16 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8889646681
Graduation Year
1999 (27 years ago)
PAC ID
7911941737
Group Practice PAC ID
3678465283
Professional Enrollment ID
I20050613001247
Address ID
MI489331617LA120XXSQXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

302 QUALIFIED AUDIOLOGIST in MI

Provider Addresses for JODY MEDVEDIK (M.S.,CCC-A)

  • 2421 MONROE ST

    DEARBORN, MI 481243043

    Phone: (313) 562-4485

    Type: Mailing

  • 2421 MONROE

    DEARBORN, MI 48124

    Phone: (313) 562-4485

    Type: Location

  • 20 S 3rd St Ste 210

    Columbus, OH 432154206

    Phone: (888) 964-6681

    Fax: (888) 662-0859

    Type: Location

  • 100 CROSSING BLVD STE 300

    FRAMINGHAM, MA 017025555

    Phone: (617) 964-6681

    Fax: (339) 686-2561

    Type: Mailing

  • 120 N WASHINGTON SQ OFC 378

    LANSING, MI 489331617

    Phone: (888) 964-6681

    Fax: (888) 662-0859

    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: 2022-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050613001247IQualified AudiologistMITBD
I20221017001957IQualified AudiologistOHTBD

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
92567Test to assess middle ear function907906$0
92557Comprehensive hearing and speech recognition test779777$0
92555Test for ability to detect and repeat spoken words396393$0
92553Test for hearing various pitches using earphone and device placed against the bone2323$0
View full utilization report →

Insurance plans in this area (ZIP 48124)

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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: 3678465283View full group profile
NameSpecialtyState
Qualified AudiologistMA
-MA
Qualified AudiologistMO
Qualified AudiologistNC
Qualified AudiologistIN
Qualified AudiologistMA
Qualified AudiologistMA
Qualified AudiologistIN
Qualified AudiologistMA
Qualified AudiologistWI

Reviews

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Frequently asked questions

How is JODY MEDVEDIK (M.S.,CCC-A) identified in CMS data?
CMS-hosted NPPES data lists JODY MEDVEDIK (M.S.,CCC-A) with NPI 1851413462.
Does the file indicate JODY MEDVEDIK (M.S.,CCC-A) is practicing under active NPI?
Directory data currently reports JODY MEDVEDIK (M.S.,CCC-A) as active.
What is JODY MEDVEDIK (M.S.,CCC-A)'s primary classification?
Audiologist is the headline specialty for JODY MEDVEDIK (M.S.,CCC-A) here. Clinical services aligned with this taxonomy classification.
Where is JODY MEDVEDIK (M.S.,CCC-A) based?
JODY MEDVEDIK (M.S.,CCC-A) is tied to Dearborn, Michigan in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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