Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Latoya Shuler , AuD

Audiologist โ€ข Newark, DE

Active NPI 1194067645 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

630 E Chestnut Hill Rd
Newark, DE 197131828

Call 3024542301 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

630 E Chestnut Hill Rd

Newark, DE 197131828

Telephone 3024542301
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Bensalem, PA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Pinnacle Ent Alliance Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2012

Medicare patients

234 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $13,925 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $10,664 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Years since graduation

14 years (graduated 2012)

CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Shuler has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Newark and Delaware

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 70% of clinicians listed under Audiologist in Delaware (2024, 25 clinicians with data). Median for this group: 304. Middle half: 190 to 647.

Too few clinicians listed under Audiologist in Newark have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 70% of clinicians listed under Audiologist in Delaware (2024, 25 clinicians with data). Median for this group: $10,544. Middle half: $5,630 to $16,944.

Too few clinicians listed under Audiologist in Newark have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 70% of clinicians listed under Audiologist in Delaware (2024, 25 clinicians with data). Median for this group: $6,408. Middle half: $4,141 to $12,120.

Too few clinicians listed under Audiologist in Newark have Medicare Part B data for 2024 to compare.

10 active clinicians are listed under Audiologist with a practice address in Newark, DE (57 in Delaware).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
92557 Comprehensive hearing and speech recognition test
239 229 $109.97 $36.90
92550 Test for eardrum and muscle function
232 222 $75.00 $22.01

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

(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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Delaware State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED AUDIOLOGIST

Medicare Enrollment ID

I20170113000703

Enrollment State Jurisdiction

PA

PECOS Control ID

5698057362

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Pinnacle Ent Alliance Llc

599 W State St, Doylestown, PA 189012567

Phone: 2153455323

Secondary Practice Locations

3143 Knights Rd

Bensalem, PA 190202801

Phone: 2156383677

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Practice Location March 22, 2019

Registered at 630 E CHESTNUT HILL RD, NEWARK, DE 197131828 (Tel: 3024542301)

๐Ÿ“
Updated Business Mailing Address February 12, 2019

Registered at 839 TROPHY WAY, BEAR, DE 197013121

๐Ÿ‘ค
Provider Name / Credentials Updated February 12, 2019

Recorded as LATOYA SHULER, AU.D.

โœ…
NPI Profile Active March 22, 2013

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 22, 2013

Registered at 3143 KNIGHTS RD, BENSALEM, PA 190202801 (Tel: 2156383677)

๐Ÿ“
Business Mailing Address (Initial Record) March 22, 2013

Registered at 5502B LARGE ST, PHILADELPHIA, PA 191493319

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 22, 2013

Recorded as LATOYA WILLIAMS, AU.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2013

Audiologist

๐ŸŸข
Initial NPI Registration & Enumeration March 22, 2013

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1194067645
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2013
Last Update: March 22, 2019
Sole Proprietor: No

Other Audiologists in Newark

Healthcare providers in Newark

Mailing Address

839 Trophy Way

Bear, DE 197013121

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.