Jacinto Thomas Fragoso, AUD
NPI 1063038453ActiveIndividual· Audiologist· Avon, IN
Audiologist (AUD) in Avon, Indiana, licensed in IN, MI and OH, with an NPI issued in June 2020. Medicare paid $1,059 for services to 26 patients in 2024.
Overview
| NPI | 1063038453 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUD |
| Sole proprietor | No |
| NPI issued | Jun 22, 2020 |
| Last updated in NPPES | Mar 14, 2023 |
| Certified by provider | Mar 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 23002773A | IN |
| Audiologist | 231H00000X | 1601000873 | MI |
| Audiologist | 231H00000X | A.02322 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 58 across 4 procedure codes |
| Paid by Medicare | $1,059 |
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