MICHAEL ROMERO AUD
NPI 1790405686
Audiologist in Richardson, TX
NPI Status: Active since August 31, 2022
Contact Information
2895 FACILITIES WAY
RICHARDSON, TX
ZIP 75080
Phone: (972) 883-3630
Fax: (972) 883-3622
- Individual
- Male
- Years of Experience 4
- Audiologist
- Accepts Insurance
- Accepts Medicare Approved Payment
About MICHAEL ROMERO
This page provides the complete NPI Profile along with additional information for Michael Romero, a provider established in Richardson, Texas with a medical specialization in Audiologist and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1790405686 assigned on August 2022. The practitioner's primary taxonomy code is 231H00000X with license number 81580 (TX). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1790405686
- Provider Name
- MICHAEL ROMERO AUD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2895 FACILITIES WAY RICHARDSON, TX 75080
- Location Phone
- (972) 883-3630
- Location Fax
- (972) 883-3622
- Mailing Address
- 2895 FACILITIES WAY RICHARDSON, TX 75080
- Mailing Phone
- (972) 883-3630
- Mailing Fax
- (972) 883-3622
- Medical School Name
- OTHER
- Graduation Year
- 2022
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-31-2022
- Last Update Date
- 04-20-2023
- Code Navigator
Audiologists like Michael Romero 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.
- 81580
- License State
- TX
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | A.02410 (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
- Anthem Silver Essential 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 9200 $25 Generic Drugs - HMO
- Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
- Bronze HSA $7,300 ON-EX - HMO
- Bronze Standard w/ Virtual & Wellness - HMO
- Gold $1250 w/ Virtual & Wellness ON-EX - HMO
- Gold $500 w/ Virtual & Wellness ON-EX - HMO
- Gold Standard w/ Virtual & Wellness - HMO
- Silver $5000 w/ Virtual & Wellness ON-EX - HMO
- Silver Standard w/ Virtual & Wellness - HMO
- SilverSelect w/ Virtual & Wellness ON-EX - HMO
- Young Adult Essentials ON-EX - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Michael Romero 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: 7315323565
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: I20220926002759
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: $14.29 for a new patient copayment and $17.82 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 75080 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99202
- Average New Patient Price $57.18
- Minimum New Patient Price $57.18
- Maximum New Patient Price $172.86
- Average New Patient Copayment $14.29
- Minimum New Patient Copayment $14.29
- Maximum New Patient Copayment $43.21
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.28
- Minimum Established Patient Price $18.48
- Maximum Established Patient Price $141.2
- Average Established Patient Copayment $17.82
- Minimum Established Patient Copayment $4.62
- Maximum Established Patient Copayment $35.3
* 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 MICHAEL ROMERO AUD
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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. | |||||||||
| 1 | 7 | 9 | 0 | 4 | 0 | 5 | 6 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 8 | 0 | 10 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 8 + 0 + 1 + 0 + 6 + 1 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1790405686 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1013550474 | EMILY NICOLE WESTON MS Individual | Speech-Language Pathologist | 2895 FACILITIES WAY RICHARDSON, TX 75080 (972) 883-3660 |
| 1053987214 | CHRISTINA CAMPBELL AU.D. Individual | Audiologist | 2895 FACILITIES WAY RICHARDSON, TX 75080 (972) 883-3660 |
| 1164090098 | MRS. HANNAH POURCHOT NEALE B.S. Individual | Speech-Language Pathologist | 2895 FACILITIES WAY RICHARDSON, TX 75080 (972) 883-3660 |
| 1245660562 | AMBER STEHLIK Individual | Speech-Language Pathologist | 2895 FACILITIES WAY RICHARDSON, TX 75080 (972) 883-3660 |
| 1326291956 | KIMBERLY N. MORAN SLP Individual | Speech-Language Pathologist | 2895 FACILITIES WAY RICHARDSON, TX 75080 (972) 883-3660 |
| 1376625483 | MRS. JENNIFER H MCGLOTHLIN M.S. Individual | Speech-Language Pathologist | 2895 FACILITIES WAY RICHARDSON, TX 75080 (972) 883-3660 |
| 1457473357 | DR. LAURA L PARNELL AU.D. Individual | Audiologist | 2895 FACILITIES WAY RICHARDSON, TX 75080 (972) 883-3660 |
| 1457563736 | LISA MARIE RICHARDS Individual | Audiologist | 2895 FACILITIES WAY RICHARDSON, TX 75080 (973) 883-3010 |
| 1730327289 | MRS. CHRISTINA ROSE GOLLIS M.S. Individual | Speech-Language Pathologist | 2895 FACILITIES WAY RICHARDSON, TX 75080 (972) 883-3660 |
| 1861653867 | DR. STEPHANIE CELESTE WILLIAMS AU.D. Individual | Audiologist | 2895 FACILITIES WAY RICHARDSON, TX 75080 (972) 883-3660 |
| 1154070837 | JENIECE RAY Individual | Speech-Language Pathologist | 2895 FACILITIES WAY RICHARDSON, TX 75080 (972) 883-3630 |
| 1366046914 | KATHRYN LANGE Individual | Speech-Language Pathologist | 2895 FACILITIES WAY RICHARDSON, TX 75080 (972) 883-3630 |
| 1518371376 | PAIGE BURKINK BOWEN M.S., CCC-SLP Individual | Speech-Language Pathologist | 2895 FACILITIES WAY RICHARDSON, TX 75080 (972) 883-3660 |
| 1578300901 | ALLISON STAKER WOODFORD AUD Individual | Audiologist | 2895 FACILITIES WAY RICHARDSON, TX 75080 (972) 883-3630 |
| 1982347019 | LAURA WELLBORN BRAY M.S., CCC-SLP Individual | Speech-Language Pathologist | 2895 FACILITIES WAY RICHARDSON, TX 75080 (972) 883-3630 |
| 1154168490 | WHATLEY A. JONES AU.D. Individual | Audiologist | 2895 FACILITIES WAY RICHARDSON, TX 75080 (972) 883-3630 |
| 1568353415 | DR. EMILY BAUMANN AUD Individual | Audiologist | 2895 FACILITIES WAY RICHARDSON, TX 75080 (972) 883-3045 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790405686, enumerated in the NPI registry as an "individual" on August 31, 2022
The provider is located at 2895 Facilities Way Richardson, Tx 75080 and the phone number is (972) 883-3630
The provider's speciality is Audiologist with taxonomy code 231H00000X
The provider has more than 4 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. 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 $57.18 with an average copayment of $14.29 for new patient appointments. Established patients should expect a typical charge of $71.28 and an average copayment of 17.82. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 31, 2022. 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].
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