DR. TINA MEDLEY PROFFIT (AUD) – Audiologist-Hearing Aid Fitter, NPI 1699769638
Audiologist-Hearing Aid Fitter
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. TINA MEDLEY PROFFIT (AUD)
680 W Lee Hwy
Wytheville, VA 243821708
Phone: (276) 228-0866
Type: Location
3607 S Main St
Blacksburg, VA 240607014
Phone: (540) 381-6967
Type: Location
8052 CARROLLTON PIKE
GALAX, VA 243336087
Phone: (276) 236-0778
Fax: (276) 236-8600
Type: Location
85 Cleburne Blvd
Dublin, VA 240844435
Phone: (540) 674-4889
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: 2021-09-07
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 |
|---|---|---|---|---|
| I20210907003168 | I | Qualified Audiologist | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 24382)
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