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ISU Audiology Clinic, Meridian

CONTACT US:

1311 E. Central Dr.
Meridian, ID  83642
audiology.help@health.isu.edu

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Phone:  (208) 373-1734
Fax:  (833) 390-1293

HOURS:

Tuesday - Thursday
8:30 AM - 5:00 PM

Friday
11:00 AM - 3:30 PM

Audiologist performing and audiology exam

ISU’s Audiology Clinic provides comprehensive hearing healthcare services for adults and children in the Treasure Valley, including ISU faculty, staff, students, and community members. Our clinic offers a full range of audiological evaluations, hearing aid fitting and device management services.

Our licensed audiologists bring diverse expertise in areas such as hearing aids and amplification, assistive listening devices, and hearing conservation. Whether you need a diagnostic assessment or ongoing hearing support, our team is committed to delivering personalized, evidence-based care to help you hear your best.

Hearing Services

Hearing evaluations help determine the type and degree of hearing loss you may have by measuring how well you hear sounds across different frequencies. Evaluations are performed by a licensed audiologist and sometimes with a supervised Doctor of Audiology student, using specialized equipment called an audiometer to assess your hearing sensitivity.

What to Expect During Your Hearing Evaluation

Your appointment will begin with a brief discussion about your hearing concerns, medical history, noise exposure, and any related symptoms. Based on this information, your audiologist may perform a combination of the following assessments:

  • Otoscopy: A visual examination of your outer ear, ear canal, and eardrum using a lighted instrument.

  • Pure Tone Audiometry: Measures your hearing levels across various frequencies to identify the type, degree, and pattern of hearing loss.

  • Bone Conduction Testing: Helps determine whether hearing loss is conductive (outer or middle ear) or sensorineural (inner ear or auditory nerve).

  • Word Recognition: Evaluates your ability to hear and distinguish words when speech is presented at a comfortable volume.

  • QuickSIN (Quick Speech in Noise): Measures how well you can understand speech in noisy environments.

  • Tympanometry: Assesses the middle ear by using air pressure to move the eardrum and test its mobility.

  • Acoustic Reflex Testing: Measures the ear’s natural response to loud sounds by evaluating a small muscle contraction in the middle ear.

Hearing Device Selection, Fitting, and Counseling

If your audiologist has recommended hearing devices, congratulations — you’re taking the first step toward improving your communication and overall quality of life.

Your audiologist will help you choose hearing devices that best fit your specific hearing loss, lifestyle, and listening needs. Together, you’ll develop a hearing health management plan that focuses on your daily environments and communication goals.

Once your hearing solution is selected, you’ll return for a hearing device fitting. During this appointment, your audiologist will:

  • Program the devices to match your hearing test results

  • Test them to ensure proper function and comfort

  • Teach you how to use and care for your devices

You’ll also receive guidance on:

  • Adjusting to different listening environments

  • Inserting and removing your hearing aids

  • Using communication strategies

  • Battery care

  • Cleaning and maintenance

A follow-up appointment will be scheduled a few weeks later to make any needed adjustments and ensure your hearing devices are working optimally.

Hearing Device Styles

Hearing devices come in a variety of styles, sizes, and technology levels — from those that fit completely in the ear canal to those that rest comfortably behind the ear. Your audiologist will guide you toward a style that fits both your hearing loss and your daily routine.

Choosing the Right Hearing Device

No single hearing device fits everyone. Our clinic partners with major hearing aid manufacturers to offer a wide range of technology options. When determining the best device for you, we consider:

  • Degree of hearing loss: Determines which sounds need amplification and may influence which styles are suitable.

  • Ear configuration: The shape and condition of your ear (including surgical history) can affect which device fits best.

  • Manual controls: While most modern hearing aids automatically adapt to noise, music, and speech, manual controls may be preferred for specific needs.

  • Wireless connectivity: Many devices connect via Bluetooth® to smartphones, TVs, and other accessories for added convenience.

  • Dexterity and vision: Smaller hearing aids can be more challenging to handle. Your audiologist will recommend a model suited to your fine motor skills and vision.

Hearing devices work best with regular cleaning and maintenance. Common culprits of malfunction include moisture, earwax, dust, and dirt. With proper care, most hearing aids last five to seven years.

Tips for care

  • Wipe devices daily with a soft, dry cloth.

  • Avoid water, alcohol wipes, or harsh cleaners.

  • Store hearing aids in a dry, safe place, away from children and pets.

  • Schedule a professional deep cleaning every 4–6 months at the ISU Audiology Clinic.

If your hearing aids stop working despite cleaning, they can be dropped off at the clinic’s Hearing Aid Repair Clinic for assessment and repair.

Hearing Device Troubleshooting

If you experience feedback (a squealing sound):

  • Check for wax in the microphone or receiver opening.

  • Ensure the earmold fits snugly.

  • Excess earwax may also cause feedback — contact our clinic for removal if needed.

If there’s no sound from your hearing aid:

  • Check or replace the battery.

  • Inspect for wax or debris blocking the microphone or receiver.

Modern hearing devices often pair with accessories that make listening easier in specific situations:

  • Bluetooth® and wireless technology: Connect your hearing aids to smartphones, remote controls, TVs, or microphones for clearer sound.

  • FM systems: Used in classrooms or presentations to reduce background noise and help you hear the speaker more clearly.

  • Assistive Listening Devices: Specialized tools for improved hearing in public spaces or noisy environments.

Hearing Device Supplies

You can purchase many hearing aid supplies directly from the ISU Audiology Clinic, including:

  • Batteries: Typically last 7–10 days; keep a few spares on hand.

  • Wax guards: Protect electronic components from earwax buildup.

  • Cleaning kits: Contain brushes, wax tools, and battery magnets.

  • Dry-aid kits: Remove moisture — ideal for humid climates or active lifestyles.

Custom Earmolds, Swim Plugs, and Hearing Protection

Your audiologist can take a quick ear impression (about 10 minutes) to create custom products tailored for your needs:

  • Custom earmolds: Provide a secure and comfortable fit for hearing aids.

  • Swim plugs: Help reduce water entering the ear canal and prevent irritation.

  • Custom hearing protection: Designed for hunters, musicians, and individuals in noisy industries. Musician’s plugs preserve sound quality while protecting your hearing.

The ISU Audiology Clinic provides comprehensive hearing services for children ages 7 and older from the community and surrounding rural areas. Our audiologists specialize in pediatric hearing evaluations and individualized treatment for children with hearing loss.

Our pediatric services include school-age hearing screenings and diagnostic assessments designed to identify hearing issues early and accurately. A typical evaluation consists of a complete behavioral test battery, which may include:

  • Visual Reinforced Audiometry (VRA) – Uses visual rewards to encourage responses from young children.

  • Conditioned Play Audiometry (CPA) – Engages children in play-based responses to sounds.

  • Standard Pure-Tone Testing – Determines hearing sensitivity across frequencies.

  • Tympanometry and Acoustic Reflex Testing – Assess middle ear function.

  • Otoacoustic Emissions (OAE) – Evaluate inner ear (cochlear) function.

If a hearing loss is diagnosed, treatment and intervention options are available. Our clinic provides:

  • Hearing aid selection, fitting, and follow-up care for pediatric patients.

  • Parent education and counseling to support communication and device management at home.

  • Bone-anchored hearing devices and cochlear implant services when appropriate.

At ISU, we partner with local and national programs to help provide hearing aids for children who may not have access to them otherwise — ensuring every child has the opportunity to hear, learn, and thrive.

Make an Appointment

Call (208) 373-1734 to schedule an audiology appointment.

Clinic Hours:
Tuesday – Thursday
8:30 AM – 5:00 PM

Friday
11:00 AM – 3:30 PM

Patient Referrals

The ISU Audiology Clinic accepts referrals via phone or fax:

  • Phone: (208) 373-1734

  • Fax: (833) 390-1293

Referrals are required for all Medicare and Medicaid patients.

Consent Forms

Consent forms are typically sent via DocuSign to your email for electronic signature.  If you are unable to sign electronically, paper copies are available for your convenience.  Please arrive a few minutes early to fill out your paperwork.  

Parking

ISU provides free parking for all clinic patients and clients.

  • Designated clinic parking is outlined in yellow directly in front of the ISU Meridian Clinics entrance. Please use the entrance with the ramp and stairs in front of the building.

  • The parking area is located on the southwest side of the building, facing I-84.

Map of ISU Meridian

 

Headshot of Spencer Cheshire

Spencer Cheshire, AuD, MHA, CCC-A, CPS/A

Clinical Audiologist

(208) 373-1734

(833) 390-1293

audiology.help@health.isu.edu

Education: 

  • Master of Healthcare Administration (MHA), Healthcare Management, 2017, University of Minnesota 
  • Doctor of Audiology (Au.D.), Audiology, 2008, Utah State University 
  • Bachelor of Arts (B.A.), Communicative Disorders, 2004, Utah State University 

Professional Interests: Practice and Healthcare Management, Vestibular and Balance, Medical Aspects of Audiology, Hearing Conservation, and Hearing Aids

Personal Interests/Hobbies: Fly fishing, backpacking, camping, water sports

Tali Rotman, Ph.D.

Audiologist

(208) 373-1734

(833) 390-1293

Tali Rotman, Ph.D., is a clinical audiologist at Idaho State University’s Audiology Clinic in Meridian. She offers comprehensive hearing assessments and audiologic rehabilitation services to individuals of all ages, with a particular emphasis on older adults.  Outside of work, I love exploring the outdoors, going to the movies, and spending time with family and friends.

"I’m committed to providing care that is compassionate, personalized, and empowering. I take the time to listen and understand each person’s unique needs, working together to achieve the best outcomes in their audiological rehabilitation. My goal is to create a welcoming space where patients feel supported, informed, and confident in their hearing care journey."

Education & Training

  • Doctor of Philosophy (Ph.D.) in Rehabilitation and Communication Sciences, Idaho State University, 2025
  • Master of Arts (M.A.) in Communication Sciences and Disorders (Major: Audiology & Cognition), University of Haifa, Israel, 2016
  • Bachelor of Arts (B.A.) in Communication Sciences and Disorders, Tel-Aviv, University, Israel, 2004
  • Geriatrics Certificate from Idaho State University

Clinical Experience & Specialties

  • Comprehensive diagnostic hearing evaluations
  • Hearing aid fitting, verification, and counseling
  • Evaluation of auditory processing disorders (APD) in school-age children and adults
  • Auditory training for adults with hearing aids and cochlear implants
  • Speech-in-noise and listening effort assessment in clinical and research settings

Professional Affiliations & Achievements

  • Member, American Auditory Society (AAS)
  • Presenter at the ISSAR Annual Conference in 2019 and the AAS Annual Conference in 2024

Staff

Billing & Insurance Information

Insurance
If you have insurance, please bring your insurance card with you to your appointment.  Our clinic accepts and contracts with the following insurance plans:

  • Aetna

  • Amplifon Hearing

  • Blue Cross of Idaho

  • Cigna

  • Medicare

  • Medicaid

  • Molina Health Care
  • PacificSource

  • Regence Blue Shield of Idaho

  • SelectHealth

  • Start Hearing
  • Tricare

  • TriWest (with VA Authorization)
  • United Healthcare

  • UHC Hearing

  • UMR

Insurance Patients

The ISU Audiology Clinic accepts private insurance, including Medicare and Medicaid.

  • Medicare and Medicaid patients must have a physician referral in order for the clinic to bill insurance.

  • If a referral is not provided, patients will be responsible for any charges not covered by insurance.

  • All private insurance will be verified prior to your visit.

  • A minimum payment of $50.00 for commercial insurance patients is required at the time of service, as most hearing benefits are not covered until the deductible has been met.

Payment Information

Most hearing services are non-covered and may be applied toward your deductible.  Hearing aids must be paid in full at the time of fitting.

NOW ACCEPTING CARE CREDIT for Hearing Aids!

Billing & Payment Policies:

  • Statements are mailed monthly.
  • Monthly payments are required to avoid collections.
  • If you cannot pay your bill in full, payment plans are available.
  • Payment, including co-pays or deductible deposits, are expected at the time of service.
  • We accept cash, check, and Visa/debit payments.
  • Click below to make an online payment.

Pay Online

No Surprise Billing Act

FAQs - ISU Audiology

Appointments & Referrals

Do I need a referral to be seen at the ISU Audiology Clinic?
Referrals are required for all Medicare and Medicaid patients. If you have private insurance, a referral may not be required, but it’s recommended to check with your insurance provider for coverage requirements.

How do I schedule an appointment?
You can schedule an appointment by calling (208) 373-1734. Our staff will assist you in selecting an appointment time and ensure you have the correct forms completed before your visit.

Hearing Evaluations

What should I expect during my hearing evaluation?
Your audiologist will begin with a discussion about your hearing concerns, medical history, and symptoms. The evaluation may include otoscopy, audiometry, tympanometry, and speech-in-noise testing to determine the type and degree of hearing loss.

How long does a hearing evaluation take?
Most hearing evaluations take about 45 to 60 minutes, depending on the tests performed and whether additional counseling or device recommendations are provided.

Hearing Aids & Devices

How do I know if I need hearing aids?
If your evaluation shows a degree of hearing loss that affects communication, your audiologist will discuss treatment options and may recommend hearing aids or other assistive devices.

Do you work with specific hearing aid brands?
Yes. The ISU Audiology Clinic works with major manufacturers to ensure access to the latest technology. This allows our audiologists to select hearing aids based on your individual hearing needs, lifestyle, and budget.

How long do hearing aids last?
With proper care and maintenance, most hearing aids last between five and seven years. Routine cleanings and checkups can help extend their life and maintain optimal performance.

Billing & Payment

Does insurance cover hearing aids?
Most insurance plans do not fully cover hearing aids. Coverage varies by plan, so we recommend contacting your insurance provider for details. 

When is payment due?
Payment, including co-pays, is expected at the time of service. Hearing aids must be paid in full at the time of fitting.  Financing is available through Care Credit.

Medical Records

How can I request a copy of my medical records?
Patients may request to review or obtain a copy of their records by completing and signing an Authorization to Release Protected Health Information (PHI) form.  Requests are typically processed within 10 business days.

Idaho State University recognizes that our mission is to care, support, and educate individuals and families affected by health conditions that diminish their quality of life. We acknowledge that individuals may experience discrimination in the healthcare system, which can adversely affect their health outcomes.  We recognize that both conscious and unconscious discrimination occur. Overt and conscious discrimination is not tolerated. Unconscious or unintentional discrimination need to be identified, challenged, and addressed. We believe everyone has the right to be healthy and have access to the resources they need.

We strive to achieve the following commitments to our colleagues and our patients:

  •  Goal 1: We do not discriminate on the basis of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation and gender identity or expression.
  • Goal 2: All patients receive the highest level of care possible delivered in a patient and family friendly approach using evidence-based medicine.
  • Goal 3: We recognize racism, not race, as the cause for healthcare disparities and therefore will examine our healthcare treatment plans for bias.
  • Goal 4: We will track information on factors that create disparities as they relate to health outcomes to better identify how we may actively seek to eliminate such disparities in healthcare.
  • Goal 5: We intend to improve the diversity of our workforce to reflect the community we serve.
  • Goal 6: We commit to listen, learn, and seek to understand in order to create impactful and sustainable positive change.
  • Goal 7: We will recognize and reward practices that promote health equity.

Definition of health equity: The state in which everyone has a fair and just opportunity to attain their highest level of health. https://www.cdc.gov/healthequity/

While the terms equity and equality may sound similar, the implementation of one versus the other can lead to dramatically different outcomes for marginalized people: Equality means each individual or group of people is given the same resources or opportunities. Equity recognizes that each person has different circumstances and allocates the exact resources and opportunities needed to reach an equal outcome within the scope of care provided at ISU Clinics.

  • Idaho Department of Health & Welfare
  • American Academy of Audiology:  The American Academy of Audiology is the world’s largest professional organization of, by, and for audiologists. The active membership of more than 12,000 is dedicated to providing quality hearing care services through professional development, education, research, and increased public awareness of hearing and balance disorders.
  • American Speech and Language Association (ASHA):  ASHA is the national professional, scientific, and credentialing association for more than 173,070 members and affiliates who are audiologists, speech-language pathologists, speech, language, and hearing scientists, audiology and speech-language pathology support personnel, and students. Audiologists specialize in preventing and assessing hearing and balance disorders as well as providing audiologic treatment, including hearing aids. Speech-language pathologists identify, assess, and treat speech and language problems, including swallowing disorders.
  • American Cochlear Implant Alliance: The American Cochlear Implant (ACI) Alliance is a not-for-profit organization created with the purpose of eliminating barriers to cochlear implantation by sponsoring research, driving heightened awareness, and advocating for improved access to cochlear implants for patients of all ages across the United States.
  • American Society for Deaf Children (ASDC): ASDC is a national organization of families and professionals committed to educating, empowering, and supporting parents and families of children who are deaf or hard of hearing. The ASDC helps families find meaningful communication options, particularly through the competent use of sign language, in their home, school, and community.
  • Association of Late-Deafened Adults, Inc. (ALDA):  ALDA serves as a resource center providing information and referrals, self-help, and support groups for people deafened as adults. ALDA works to increase public awareness of the special needs of deafened adults.
  • Association of Medical Professionals With Hearing Losses (AMPHL): AMPHL aims to assist those in the professional health fields address issues surrounding their hearing loss. To help achieve this goal, their website provides information based on current issues in health fields along with personal experiences and insights into making hearing loss more compatible with the medical profession.
  • Hearing Loss Association of America (HLAA):   HLAA provides assistance and resources for people with hearing loss and their families to learn how to adjust to living with hearing loss. Its national support network includes an office in the Washington, DC, area as well as 14 state organizations and 200 local chapters.
  • American Tinnitus Association:  ATA is a global leader in the effort to find a cure for tinnitus. We bring together patients, researchers, healthcare professionals, industry partners and lawmakers to develop tinnitus management tools and fund vital tinnitus research.
  • Vestibular Disorders Association: VEDA provides information and support to the parents or teachers of people suffering from inner-ear balance disorders.
  • Idaho Sound Beginnings: Early Hearing Detection and Intervention sponsored by the Department of Health and Welfare.
  • Hands and Voices: A non-profit organization lead by parents who want to support families of  children who are deaf or hard of hearing.