Hear More. Be Happy.
Imagine a world without sound—or only garbled, distorted sounds. You’d miss a lot. Imagine what you’d lose while hanging out with friends, having dinner with your family, playing with your kids or grandkids—even just hearing the birds in your yard.
That’s why we do what we do.
At Ascent Audiology & Hearing, we’re fully committed to helping people in Fredericksburg, Falmouth, Bellevue, Brookfield, Little Falls, and surrounding communities improve their hearing and get the most out of every day of life.
Hearing plays a crucial role in your overall well-being—from helping to prevent dementia to keeping you connected to the people and experiences that matter most. We’re here to make sure you don’t miss a thing.
Meet the dedicated team at Ascent Audiology & Hearing, and take the first step toward better hearing today.
Meet the Audiologist at Ascent Audiology & Hearing
At Ascent Audiology & Hearing, we’re committed to helping our patients improve their hearing and quality of life. Armed with the latest hearing loss technology, we’ll help you get back to doing what you love.
Paul D. Kuster, Au.D.
Doctor of Audiology
With over 26 years of experience in audiology, Dr. Paul Kuster is a trusted expert in hearing healthcare and the founder of Ascent Audiology & Hearing in Fredericksburg, Virginia. He is dedicated to providing exceptional, patient-centered care by combining advanced hearing technology with a personalized approach.
Dr. Kuster earned his Bachelor of Science in Speech Pathology and Audiology from Stockton State College, a Master of Science in Audiology from California State University, Sacramento, and his Doctor of Audiology (Au.D.) from the University of Florida.
An Army Veteran, Dr. Kuster brings a strong sense of discipline, service, and precision to his practice. He is also an avid marksman who enjoys the focus the sport demands. Outside the office, he loves spending time with his friendly and loyal office pups, Chewy and Taffy, who brighten the clinic and welcome patients with wagging tails.
Dr. Kuster is passionate about helping patients reconnect with the sounds of life—offering expert guidance, personalized solutions, and care that truly makes a difference.
Ryan Malkiewicz
Doctor of Audiology
Dr. Ryan Malkiewicz brings nearly 15 years of experience to Ascent Audiology. He previously specialized in equilibrium disorders but now focuses on hearing aids and amplification, with an emphasis on serving Veterans and underserved communities.
A Fredericksburg area resident for nearly 30 years, Dr. Malkiewicz grew up in Stafford and now lives in Fredericksburg with his wife and five cats. He earned his undergraduate degrees from Virginia Tech and his Doctorate in Audiology from Nova Southeastern University in Fort Lauderdale, FL.
In addition to his audiology career, Dr. Malkiewicz commands a Medical Unit in the United States Army Reserve. Outside of work, he enjoys hiking, kayaking, and competing in triathlons and adventure races.
Dr. Malkiewicz is dedicated to improving his patients’ quality of life through better hearing and looks forward to continuing to serve the Fredericksburg community at Ascent Audiology.
