Peter Jansen Marincovich, PHD AUDIOLOGIST DISP
NPI 1447327507ActiveIndividual· Audiologist· Santa Rosa, CA
Audiologist (PHD AUDIOLOGIST DISP) in Santa Rosa, California, licensed in CA, with an NPI issued in November 2006. Medicare paid $182,329 for services to 693 patients in 2024.
Overview
| NPI | 1447327507 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD AUDIOLOGIST DISP |
| Sole proprietor | Yes |
| NPI issued | Nov 30, 2006 |
| Last updated in NPPES | Mar 13, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | AU758 | CA |
| Audiologist-Hearing Aid Fitter | 237600000X | HA1949 | CA |
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 | 693 |
|---|---|
| Services billed | 5,131 across 18 procedure codes |
| Paid by Medicare | $182,329 |
Education and affiliations
| Graduation year | 1987 |
|---|---|
| Medicare specialty | Qualified Audiologist |
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All 22 audiologists in Santa Rosa · All audiologists in California