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Active NPI 1114018447 Individual Practitioner Female Practitioner

Dr. Raena Sue Deperry , AuD

Audiologist • Hudson, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Raena Deperry, AuD is a certified Audiologist practicing in Hudson, WI. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Deperry delivers high-quality medical care to the local community at 401 STAGELINE RD.

Dr. Deperry is affiliated with Jka5 Hudson Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include comprehensive hearing and speech recognition test, eardrum testing using ear probe. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

401 Stageline Rd
Ste. 6

Hudson, WI 540167897

Telephone 7155316710
Fax 7155316711
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Hudson, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +8.5 yrs vs City Avg
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Hudson, WI (454 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Deperry (19 Years) 19 Yrs
Hudson Specialty Average (10.5 Years) 10.5 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
77 77 $104.65 $34.56
92567 Eardrum testing using ear probe
30 30 $45.00 $15.40

Medical Specialties & State Licenses

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License WI 515-156

(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.

Audiologist

NUCC Taxonomy Code: 231H00000X

State License FM 8072

(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 Mhcp
849410000 (MN)

Hospital & Practice Group Affiliations

Jka5 Hudson Inc

411 Stageline Rd, Hudson, WI 540167848

Phone: 7155316710

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1548267396

Master of Science, FAAA

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 12, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2007

Registered at 401 STAGELINE RD, STE. 6, HUDSON, WI 540167897 (Tel: 7155316710)

📍
Updated Business Mailing Address December 12, 2007

Registered at 1119 STATE ST APT 164, RIVER FALLS, WI 540223403 (Tel: 7154260223)

👤
Provider Name / Credentials Updated December 12, 2007

Recorded as RAENA DEPERRY, AUD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2007

Audiologist (License #515-156 in WI)

🟢
Initial NPI Registration & Enumeration September 28, 2006

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: 1114018447
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: December 12, 2007
Sole Proprietor: No

Mailing Address

1119 State St Apt 164

River Falls, WI 540223403

Phone: 7154260223

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.