GILBERT L PHON (AU.D., FAAA) – Audiologist, NPI 1952440703

GILBERT L PHON (AU.D., FAAA) is a healthcare provider. based in Saint peters, Missouri. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D., FAAA. They hold a License No. 684 (MO). The NPI Number for GILBERT L PHON (AU.D., FAAA) is 1952440703

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
GILBERT L PHON (AU.D., FAAA)
NPI
1952440703
Phone
(636) 441-7470
Address
4200 N CLOVERLEAF DR
Enumeration Date
6 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6364417470
Graduation Year
2000 (26 years ago)
PAC ID
3870557895
Group Practice PAC ID
7618225558
Professional Enrollment ID
I20041118000431
Address ID
MO633761663SA4704XRDXX300
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

230 QUALIFIED AUDIOLOGIST in MO

Provider Addresses for GILBERT L PHON (AU.D., FAAA)

  • 4200 N CLOVERLEAF DR

    SUITE B

    SAINT PETERS, MO 633766436

    Phone: (636) 441-7470

    Fax: (636) 441-4270

    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: 2023-11-20

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
I20041118000431IQualified AudiologistMOTBD
I20231120001468IQualified AudiologistMETBD

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 test5959$0
View full utilization report →

Insurance plans in this area (ZIP 63376)

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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: 7618225558View full group profile
NameSpecialtyState
Qualified AudiologistFL
Qualified AudiologistMO
Qualified AudiologistMO

Reviews

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Frequently asked questions

What NPI should I save for GILBERT L PHON (AU.D., FAAA)?
Save NPI 1952440703 if you need a stable reference for GILBERT L PHON (AU.D., FAAA).
Is GILBERT L PHON (AU.D., FAAA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is GILBERT L PHON (AU.D., FAAA)?
The page reflects Audiologist for GILBERT L PHON (AU.D., FAAA). Clinical services aligned with this taxonomy classification.
Does GILBERT L PHON (AU.D., FAAA) practice in Missouri?
You will see Saint Peters, Missouri on file for GILBERT L PHON (AU.D., FAAA) alongside any extra practice locations.
Is GILBERT L PHON (AU.D., FAAA) a real provider?
This page reflects official NPPES data for NPI 1952440703. Always confirm identity and privileges with the practice and licensing boards.

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