Individual provider Active NPI

Charles Alan Perine, AU.D.

  • Audiologist
  • Lawrenceburg, IN
National Provider Identifier
1255646170
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
368 Bielby Rd Suite 140
Ludlow Hill Preofessional BLDG
Lawrenceburg, IN 47025
Phone
(812) 537-5510
Fax
(812) 537-4138
NPI assigned
Aug 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary
Speech-Language Pathologist 235Z00000X
Hearing Instrument Specialist 237700000X

Addresses

Primary practice location

368 Bielby Rd Suite 140
Ludlow Hill Preofessional BLDG
Lawrenceburg, IN 47025

Mailing address

40 N. Grand Ave. Suite 103
Head & Neck Surgery Assoc. PSC
Fort Thomas, KY 41075
Phone (859) 781-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120511000480 IN Practitioner - Qualified Audiologist 3678736592 Reassigns benefits to 1 organization
I20120511000559 KY Practitioner - Qualified Audiologist 3678736592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Head and Neck Surgery Associates, PSCGroup PAC ID 4183662158, 28 clinicians

Practice addresses (Care Compare)

368 Bielby Rd
Suite 140
Lawrenceburg, IN 47025-1067
Phone (859) 781-4900

7575 US Hwy 42
Florence, KY 41042-1939
Phone (859) 283-9100

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Head and Neck Surgery Associates, PSC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1255646170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N. GRAND AVE. SUITE 103",
            "address_2": "HEAD & NECK SURGERY ASSOC. PSC",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "41075",
            "telephone_number": "859-781-4900",
            "fax_number": "859-572-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 BIELBY RD SUITE 140",
            "address_2": "LUDLOW HILL PREOFESSIONAL BLDG",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "47025",
            "telephone_number": "812-537-5510",
            "fax_number": "812-537-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERINE",
        "first_name": "CHARLES",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-16",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.