Roger Theobald, AU.D.
NPI 1417056201ActiveIndividual· Audiologist· Meridian, ID
Audiologist (AU.D.) in Meridian, Idaho, trained at At Still University, Arizona School of Dentistry & Oral Hlth (class of 2009). Medicare paid $1,051 for services to 35 patients in 2024.
Overview
| NPI | 1417056201 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AU.D. |
| Sole proprietor | No |
| NPI issued | Sep 21, 2006 |
| Last updated in NPPES | Mar 23, 2026 |
| Certified by provider | Mar 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | — | — |
| Audiologist-Hearing Aid Fitter | 237600000X | — | — |
| Hearing Instrument Specialist | 237700000X | — | — |
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 (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 53 across 3 procedure codes |
| Paid by Medicare | $1,051 |
Education and affiliations
| Medical school | At Still University, Arizona School of Dentistry & Oral Hlth |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Qualified Audiologist |
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