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Deactivated NPI 1134420912 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Mackinnon , AuD

Audiologist • Stuart, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Mackinnon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 09, 2010
NPI Deactivation Date May 03, 2023
Total Practice Duration ~13 Years of Practice (2010 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mackinnon, AuD was a registered Audiologist practicing in Stuart, FL. Throughout an active medical career spanning 13 years, Dr. Mackinnon provided care at the practice location at 615 SE HIBISCUS AVE until profile deactivation on 2023-05-03.

Historical Medicare Part B clinical services included comprehensive hearing and speech recognition test, test for eardrum and muscle function, eardrum testing using ear probe. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

615 Se Hibiscus Ave

Stuart, FL 349963602

Telephone 4132071116
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Stuart, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Stuart, FL (1437 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92557 Comprehensive hearing and speech recognition test
188 186 $51.00 $37.87
92550 Test for eardrum and muscle function
114 114 $30.00 $22.67
92567 Eardrum testing using ear probe
74 74 $22.00 $16.90

Medical Specialties & State Licenses

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License FL AY1760

(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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Amelia Fry , MS, CCC-SLP, IBCLC

Speech-Language Pathologist

NPI 1275811242

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence), International Board Certified Lactation Consultant

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 03, 2023

Record deactivated on May 03, 2023

NPI Profile Active August 12, 2015

NPI status registered as active in NPPES database

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Updated Practice Location August 12, 2015

Registered at 615 SE HIBISCUS AVE, STUART, FL 349963602 (Tel: 4132071116)

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Updated Business Mailing Address August 12, 2015

Registered at 615 SE HIBISCUS AVE, STUART, FL 349963602 (Tel: 4132071116)

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Provider Name / Credentials Updated August 12, 2015

Recorded as MICHAEL MACKINNON, AUD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2015

Audiologist (License #AY1760 in FL)

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Initial NPI Registration & Enumeration November 09, 2010

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: 1134420912
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2010
Last Update: August 12, 2015
Deactivation Date: May 03, 2023

Mailing Address

615 Se Hibiscus Ave

Stuart, FL 349963602

Phone: 4132071116

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.