NPI Details
Jeffrey M Wallentine, MD is an orthopaedic surgery in Provo, UT with 34 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Jeffrey M Wallentine, MD NPI is 1124121934. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:1992
The provider's business location address is:
1055 N 500 W
SUITE 121
PROVO, UT
ZIP 84604-305
Phone: (801) 373-7350
Fax: (801) 812-5401
The NPI 1124121934 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- X-ray of knee, 3 views (HCPCS:73562)
- X-ray of knee, 4 or more views (HCPCS:73564)
- Replacement of knee joint, both sides of knee (HCPCS:27447)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- X-ray of hip, 2-3 views (HCPCS:73502)
- Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
- Measurement c-reactive protein for detection of infection or inflammation (HCPCS:86140)
- Red blood cell sedimentation rate, to detect inflammation, automated (HCPCS:85652)
- Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose (HCPCS:J7323)
- Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
- Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
- X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- Blood test, comprehensive group of blood chemicals (HCPCS:80053)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
- Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS:29826)
- Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
- Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Hip replacement (HCPCS:NAN09)
- Knee replacement (HCPCS:NAN06)
- Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
- Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)
The enumeration date for this NPI number is 9/7/2006 and was last updated on 11/27/2023.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207X00000X | Orthopaedic Surgery | | 356423-1205 | UTAH | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 107008449102 | OTHER | UTAH | IHC |
| 2 | 68080 | OTHER | UTAH | PEHP |
| 3 | 09-00180 | OTHER | UTAH | UTAH HEALTHCARE |
| 4 | 344490 | OTHER | UTAH | DMBA |
| 5 | 870281028000 | MEDICAID | UTAH | |
| 6 | QM000056640 | OTHER | UTAH | ALTIUS |
| 7 | 200045124 | OTHER | UTAH | PALMETTO |
| 8 | 870281028WAL | OTHER | UTAH | EMIA |
