JARROD C WALL (MD) – Surgical Critical Care Physician, NPI 1184695520

JARROD C WALL (MD) is a healthcare provider. based in Springfield, Illinois. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 46894 (MN). The NPI Number for JARROD C WALL (MD) is 1184695520

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
JARROD C WALL (MD)
NPI
1184695520
Phone
(217) 545-3100
Address
PO BOX 19663
Enumeration Date
1 February 2006
Last Update Date
29 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2175458000
Graduation Year
2002 (24 years ago)
PAC ID
2860450855
Group Practice PAC ID
2365352820
Professional Enrollment ID
I20081119000649
Address ID
IL627026700SP747XXSTXX400

Contacts

Secure Messaging
jarrodwall@siusm.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

1,422 GENERAL SURGERY in IL

Provider Addresses for JARROD C WALL (MD)

  • PO BOX 19663

    SPRINGFIELD, IL 627949663

    Phone: (217) 545-3100

    Fax: (217) 545-7795

    Type: Mailing

  • PO BOX 19639

    SPRINGFIELD, IL 627949639

    Phone: (217) 545-8000

    Type: Mailing

  • 747 N RUTLEDGE ST FL 2

    SPRINGFIELD, IL 627026700

    Phone: (217) 545-8000

    Fax: (217) 545-7795

    Type: Location

  • 747, North Rutledge Street, Springfield, Sangamon County, Illinois, 62702, United States

    5TH FLOOR

    SPRINGFIELD, IL 627026700

    Phone: (217) 545-3100

    Fax: (217) 545-7795

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081119000649IGeneral SurgeryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12145$0
99291Critical care, first 30-74 minutes8628$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3636$0
99238Hospital discharge day management, 30 minutes or less3434$0
99204New patient office or other outpatient visit, 45-59 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 62794)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365352820View full group profile
NameSpecialtyState
Internal MedicineIL
Physician AssistantIL
Pulmonary DiseaseIL
D E R M A T O L O G YIL
-IL
E N D O C R I N O L O G YIL
Physician AssistantIL
General SurgeryIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify JARROD C WALL (MD) with an NPI only?
You can start verification with NPI 1184695520 for JARROD C WALL (MD), then check state licensing separately.
Can I rely on JARROD C WALL (MD) being an active provider?
As of the registry snapshot, JARROD C WALL (MD) is marked active.
What taxonomy line describes JARROD C WALL (MD)?
For research purposes, treat JARROD C WALL (MD) as Surgical Critical Care Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does JARROD C WALL (MD) serve?
JARROD C WALL (MD)'s listing highlights Springfield, Illinois; more addresses can appear in NPPES.
Why does JARROD C WALL (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

JOHN P SUTYAK (M.D.)

Surgical Critical Care Physician
PO BOX 19663
NPI: 1679569172
800 E Carpenter St
NPI: 1588610539

CORYDON WALTER SIFFRING (MD)

Surgical Critical Care Physician
1025, South 6th Street, South Town, Springfield, Sangamon County, Illinois, 62703, United States
NPI: 1891728887

Unknown Individual

Trauma Surgery Physician
1025, South 6th Street, South Town, Springfield, Sangamon County, Illinois, 62703, United States
NPI: 1417036443
421 N 9th St
NPI: 1447471396

ERIC M. HIGH (M.D.)

Surgery Physician
900 N 1ST ST
NPI: 1629299599
1025, South 6th Street, South Town, Springfield, Sangamon County, Illinois, 62703, United States
NPI: 1205040664

DANIEL M HALLAM (M.D.)

Surgery Physician
1025, South 6th Street, South Town, Springfield, Sangamon County, Illinois, 62703, United States
NPI: 1548479751