DR. LORI J ROGERS-FISH
NPI 1235156985
Audiologist in Wausau, WI

NPI Status: Active since July 17, 2006

Contact Information

800 N 1ST ST
WAUSAU, WI
ZIP 54403
Phone: (715) 261-8500
Fax: (715) 261-8671

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  • Individual
  • Female
  • Years of Experience 35
  • Audiologist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About LORI ROGERS-FISH

This page provides the complete NPI Profile along with additional information for Lori Rogers-fish, a provider established in Wausau, Wisconsin with a medical specialization in Audiologist and more than 35 years of experience. The healthcare provider is registered in the NPI registry with number 1235156985 assigned on July 2006. The practitioner's primary taxonomy code is 231H00000X with license number 170-156 (WI). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1235156985
Provider Name
DR. LORI J ROGERS-FISH
Other Name
LORI J FISH
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
800 N 1ST ST WAUSAU, WI 54403
Location Phone
(715) 261-8500
Location Fax
(715) 261-8671
Mailing Address
800 N 1ST ST PO BOX 689 WAUSAU, WI 54403
Mailing Phone
(715) 261-8500
Mailing Fax
(715) 261-8671
Medical School Name
OTHER
Graduation Year
1991
Is Sole Proprietor?
No
Enumeration Date
07-17-2006
Last Update Date
03-13-2015
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Audiologists like Lori Rogers-fish are experts in diagnosing issues related to various parts of the ear, including the outer, middle, and inner ear. They can identify conditions like vertigo, balance issues, hearing loss, and tinnitus, offering treatments based on a patient’s specific condition and severity. These specialists use specialized equipment to assess the cause and extent of hearing impairments, employing tools like audiometers to evaluate the range of frequencies and volumes a person can hear. In addition, audiologists counsel patients and their families, providing advice on managing and adapting to hearing loss.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Audiologist

Taxonomy Code
231H00000X
Type
Speech, Language and Hearing Service Providers
License No.
170-156
License State
WI
Taxonomy Description
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Enrich $1,500 - 25% - HMO
  • Enrich $3,500 - 30% - HMO
  • Enrich $4,100 HDHP - HMO
  • Enrich $5,000 - 40% - HMO
  • Enrich $6,200 HDHP - HMO
  • Enrich $7,500 - HMO
  • Enrich $9,200 - HMO
  • Enrich Protection - HMO
  • Premier $1,500 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,100 HDHP - HMO
  • Premier $5,000 - 40% - HMO
  • Premier $6,200 HDHP - HMO
  • Premier $7,500 - HMO
  • Premier $9,200 - HMO
  • Premier Protection - HMO
  • Select $1,500 - 25% - EPO
  • Select $3,500 - 30% - EPO
  • Select $4,100 HDHP - EPO
  • Select $5,000 - 40% - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
41126900MEDICAID (05)WI 
000530345OTHER (01)WIMEDICARE
S58569MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Lori Rogers-fish is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 2961393483

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040323001803

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $13.47 for a new patient copayment and $16.84 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 54403 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99202

  • Average New Patient Price $53.9
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $13.47
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.37
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $16.84
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. LORI J ROGERS-FISH

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235156985
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22652512916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 2 + 5 + 1 + 2 + 9 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1235156985 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740263458EYE CLINIC OF WISCONSIN SC
Organization
Ophthalmology800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1811970635DR. CALVIN D. SPRIK M.D.
Individual
Ophthalmology800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1184607913DR. DANIEL T. STOEHR O.D.
Individual
Optometrist800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1164773685 THOMAS BOOSTROM CRNA
Individual
Nurse Anesthetist, Certified Registered800 N 1ST ST
WAUSAU, WI 54403
(715) 362-2600
1679556484DR. DOUGLAS T. EDWARDS M.D.
Individual
Ophthalmology800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1619950425DR. MATTHEW G. HATTENHAUER M.D.
Individual
Ophthalmology800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1831172675DR. ROBERT N. BEAUCHENE M.D.
Individual
Ophthalmology800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1053394874DR. THADDEUS J KROLICKI M.D.
Individual
Ophthalmology800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1801879630DR. DAVID C. TUMAN M.D.
Individual
Ophthalmology800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1548220171DR. L FERDINAND GALANG D.O.
Individual
Ophthalmology800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1912101213DR. MATHEW WARREN ASCHBRENNER MD
Individual
Ophthalmology800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1033371745DR. CHRISTOPHER J KUCHARSKI M.D.
Individual
Ophthalmology800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1083024574 DEEPAK SAMBHARA M.D.
Individual
Ophthalmology800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1780071662DR. JOHN ALEXANDER FLATTER M.D.
Individual
Ophthalmology800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1710390331 AFUA ANNOR SHIN M.D.
Individual
Ophthalmology (Cornea and External Diseases Specialist)800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1740263581DR. KEVIN T. FLAHERTY M.D.
Individual
Ophthalmology800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1831446707 JENNIFER NICOLE D'ACQUISTO OD
Individual
Optometrist800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1225564511 CHRISTIANA LOREDANA GANDY M.D.
Individual
Ophthalmology (Glaucoma Specialist)800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1477083194 MAXWELL JOSEPH WINGELAAR MD
Individual
Ophthalmology800 N 1ST ST
WAUSAU, WI 54403
(715) 261-8500
1215283866EC LASER AND SURGERY INSTITUTE OF WI, LLC
Organization
Clinic/Center (Ambulatory Surgical)800 N 1ST ST SUITE 100
WAUSAU, WI 54403
(715) 261-8500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235156985, enumerated in the NPI registry as an "individual" on July 17, 2006

The provider is located at 800 N 1st St Wausau, Wi 54403 and the phone number is (715) 261-8500

The provider's speciality is Audiologist with taxonomy code 231H00000X

The provider has more than 35 years of experience.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Security Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Medicare beneficiaries should expect a typical cost of $53.9 with an average copayment of $13.47 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on July 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.