Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518434547 Individual Practitioner Female Practitioner

Dr. Dominique M Botta , AuD

Audiologist • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Dominique Botta, AuD is a certified Audiologist practicing in Jacksonville, FL. With approximately 8 years of clinical experience since completing medical education in 2018, Dr. Botta delivers high-quality medical care to the local community at 1370 13TH AVE S STE 115.

Dr. Botta is affiliated with North Florida Surgeons Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include comprehensive hearing and speech recognition test, eardrum testing using ear probe, test for hearing various pitches using earphone and device placed against the bone. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1370 13th Ave S Ste 115

Jacksonville, FL 322503206

Telephone 9042026390
Fax 9043907388
Associated Practice Facility / Clinic
🏢 Baptist Ent Specialists Inc Facility NPI 1467751834

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Jacksonville, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -4.1 yrs vs City Avg
City Avg: 12.1 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
89 Specialists

Practicing in Jacksonville, FL (1437 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Botta (8 Years) 8 Yrs
Jacksonville Specialty Average (12.1 Years) 12.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92557 Comprehensive hearing and speech recognition test
263 261 $116.00 $36.98
92567 Eardrum testing using ear probe
250 248 $44.00 $16.45
92553 Test for hearing various pitches using earphone and device placed against the bone
12 12 $105.00 $45.12

Medical Specialties & State Licenses

CMS Verified: 2022-05-18
Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License FL AY2238

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
AY2238 (FL)

Hospital & Practice Group Affiliations

North Florida Surgeons Pa

1370 13th Ave S, Jacksonville Beach, FL 322503206

Phone: 9042026390

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1851777494

Doctor of Audiology

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location May 18, 2022

Registered at 1370 13TH AVE S STE 115, JACKSONVILLE, FL 322503206 (Tel: 9042026390)

📍
Updated Business Mailing Address May 18, 2022

Registered at PO BOX 746656, ATLANTA, GA 303746656 (Tel: 9042025111)

📍
Updated Practice Location August 17, 2021

Registered at 160 CYPRESS POINT PKWY STE A108, PALM COAST, FL 321648438 (Tel: 3862834932)

📍
Updated Business Mailing Address August 17, 2021

Registered at 160 CYPRESS POINT PKWY STE A108, PALM COAST, FL 321648438 (Tel: 3862834932)

NPI Profile Active October 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2018

Registered at 1680 DUNLAWTON AVE, PORT ORANGE, FL 321274754 (Tel: 3867568225)

📍
Updated Business Mailing Address October 29, 2018

Registered at 1680 DUNLAWTON AVE, PORT ORANGE, FL 321274754 (Tel: 3867568225)

👤
Provider Name / Credentials Updated October 29, 2018

Recorded as DOMINIQUE BOTTA, AU.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2018

Audiologist (License #AY2238 in FL)

🟢
Initial NPI Registration & Enumeration October 29, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518434547
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2018
Last Update: May 18, 2022
Sole Proprietor: No

Mailing Address

Po Box 746656

Atlanta, GA 303746656

Phone: 9042025111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.