LARRY MAZZEO (AU.D.) – Audiologist, NPI 1669466892

LARRY MAZZEO (AU.D.) is a healthcare provider. based in Rolla, Missouri. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 117468 (MO). The NPI Number for LARRY MAZZEO (AU.D.) is 1669466892

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
LARRY MAZZEO (AU.D.)
NPI
1669466892
Phone
(573) 458-8899
Address
1000 W 10th St
Enumeration Date
2 September 2005
Last Update Date
17 February 2025

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
5733648822
Graduation Year
1986 (40 years ago)
PAC ID
5395778765
Group Practice PAC ID
1557454063
Professional Enrollment ID
I20050915000718
Address ID
MO654018022RO600XXPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

230 QUALIFIED AUDIOLOGIST in MO

Provider Addresses for LARRY MAZZEO (AU.D.)

  • 1000 W 10th St

    Rolla, MO 654012905

    Phone: (573) 458-8899

    Fax: (573) 341-5611

    Type: Location

  • 1202, Turkey Run, Rolla, Phelps County, Missouri, 65401, United States

    ROLLA, MO 654013889

    Phone: (573) 341-8409

    Type: Mailing

  • 600, Blues Lake Parkway, Rolla, Phelps County, Missouri, 65401, United States

    ROLLA, MO 654018022

    Phone: (573) 364-5719

    Fax: (573) 364-5719

    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: 2005-09-15

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
I20050915000718IQualified AudiologistMOTBD

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 test231228$0
92567Test to assess middle ear function222215$0
View full utilization report →

Insurance plans in this area (ZIP 65401)

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Provider's Procedures

LARRY MAZZEO (AU.D.) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTMO92540Observation, testing, and recording of abnormal eye movement5252
QUALIFIED AUDIOLOGISTMO92552Pure tone air conduction threshold hearing assessment3331

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: 1557454063View full group profile
NameSpecialtyState
Physician AssistantMO
-MO
-MO
Radiation OncologyMO
Otolaryngology, Plastic And Reconstructive Surgery, Allergy/ImmunologyMO
-MO
Nephrology, Internal Medicine, HospitalistMO
-MO
Nurse PractitionerMO
Certified Nurse Midwife (Cnm)MO

Reviews

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Frequently asked questions

What NPI should I save for LARRY MAZZEO (AU.D.)?
Save NPI 1669466892 if you need a stable reference for LARRY MAZZEO (AU.D.).
Is LARRY MAZZEO (AU.D.)'s NPI currently valid?
The extract we use shows LARRY MAZZEO (AU.D.) as active.
What does LARRY MAZZEO (AU.D.) treat or focus on?
Patients typically see LARRY MAZZEO (AU.D.) under the specialty Audiologist. Clinical services aligned with this taxonomy classification.
Where does public data place LARRY MAZZEO (AU.D.)?
The snapshot lists Rolla, Missouri for LARRY MAZZEO (AU.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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