Karen Mispagel, AuD

Karen Mispagel, AuD

Clinical Audiologist
Otolaryngology—Head & Neck Surgery

Patients seen at

Clinical interests

Dr. Mispagel is a clinical/rehabilitative audiologist interested optimization of cochlear implant fitting; effects of asymmetric and unilateral hearing loss on communication functioning; cognition and speech understanding in sub-optimal listening conditions; and quality of life in adults with hearing loss.


  • Undergraduate: Communication Disorders, Truman State University (1999)
  • MS: Speech and Hearing, Washington University in St. Louis (2001)
  • AuD: Salus University (2009)

Licensure and board certification

  • Licensed in Missouri
  • ASHA Certificate of Clinical Competence in Audiology (CCC-A)

Select publications

  1. Valente M, Mispagel K. (2004).  Performance of an automatic adaptive dual-microphone ITC digital hearing aid.  Hearing Review 11(2):42-45, 71.
  2. Valente M, Mispagel K, Valente, LM, Hullar T. Problems and solutions for fitting amplification to patients with Meniere’s Disease. J Am Acad Audiol 17(1): 6-15.
  3. Valente, M, Mispagel K, Tchorz, J, Fabry, D. (2006). Effect of Type of Noise and Loudspeaker Array on the Performance of Omnidirectional and Directional Microphones. J Am Acad Audiol 17(6): 398-412.
  4. Mispagel K, Valente, M. Effect of Multichannel Digital Signal Processing on Loudness Comfort, Sentence Recognition and Sound Quality. J Am Acad Audiol 17(10): 681-707.
  5. Gotter, B, Mispagel K. Rehabilitation Challenges for Auditory Reimbursement Services. ARA Newsletter Spring, 2007.
  6. Valente, M, Mispagel, K. (2008). Unaided and aided performance with a directional open-fit hearing aid. International J. of Audiology 47: 329-336.
  7. Holden LK, Neely JG, Gotter BD, Mispagel K, and Firszt JB. (2012) . Sequential Bilateral Cochlear Implantation in a Patient with Bilateral Ménière’s Disease.  Journal of the American Academy of Audiology 23(4).
  8. Holden, Laura K. Finley, Charles C. Firszt, Jill, Holden, Timothy, Brenner, Christine, Potts, Lisa G,  Gotter, Brenda, Vanderhoof, Sallie S, Mispagel, Karen,  Heydebrand, Gitry, Skinner, Margaret W. (2013). Factors Affecting Open-Set Word Recognition in Adults With Cochlear Implants. Ear & Hearing 23(3).