Carver Gray Dethloff, AU.D.
NPI 1194700922ActiveIndividual· Audiologist· Fort Walton Beach, FL
Audiologist (AU.D.) with Emerald Coast Audiology PA, practicing in Fort Walton Beach, Florida. Medicare paid $4,986 for services to 104 patients in 2024.
Overview
| NPI | 1194700922 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AU.D. |
| Sole proprietor | No |
| NPI issued | Dec 14, 2005 |
| Last updated in NPPES | Jul 21, 2020 |
| Certified by provider | Jul 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | AY1018 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 104 |
|---|---|
| Services billed | 264 across 4 procedure codes |
| Paid by Medicare | $4,986 |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- Emerald Coast Audiology PAFort Walton Beach, FL · 2 clinicians
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