Blake B. Wimmer, AUD
NPI 1164208955ActiveIndividual· Audiologist· Carlsbad, CA
Audiologist (AUD) with Pacific ENT Medical Group, Inc., practicing in Carlsbad, California. Medicare paid $19,396 for services to 354 patients in 2024.
Overview
| NPI | 1164208955 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUD |
| Sole proprietor | Yes |
| NPI issued | Sep 6, 2023 |
| Last updated in NPPES | Apr 1, 2025 |
| Certified by provider | Apr 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | — | — |
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) | Enrolled Practitioner - Qualified Audiologist (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 354 |
|---|---|
| Services billed | 807 across 13 procedure codes |
| Paid by Medicare | $19,396 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- Pacific ENT Medical Group, Inc.Carlsbad, CA · 6 clinicians
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