DR. JONATHAN WALLACE (M.D.) – Surgery Physician, NPI 1568422012
Surgery Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
Provider Addresses for DR. JONATHAN WALLACE (M.D.)
955 Beisner Rd
Elk Grove Village, IL 600073475
Phone: (847) 640-5666
Type: Location
Prairie Pointe Medical Building, 4885, Hoffman Boulevard, Hoffman Estates, Barrington Township, Cook County, Illinois, 60192, United States
SUITE 400
HOFFMAN ESTATES, IL 601923726
Phone: (847) 255-9697
Fax: (847) 255-9697
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $28,476.
Total Amount is formed as General ($28,476) + Research ($0) + Ownership ($0) = $28,476.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($26,991).
Total Amount
$28,476
General + Research + Ownership
Payments
60
Total payment records
General Amount
$28,476
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $26,991 |
| Medtronic, Inc. | $270 |
| Endogastric Solutions, Inc | $152 |
| Kerecis Limited | $151 |
| Hologic Sales and Service, LLC | $138 |
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: 2008-06-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080613000594 | I | General Surgery | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 119 | 115 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 54 | 54 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 39 | 39 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 32 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 24 | $0 |
Insurance plans in this area (ZIP 60007)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| General Surgery, Colorectal Surgery (Proctology) | IL | |
| Clinical Psychologist | IL | |
| General Surgery | IL | |
| Physician Assistant | IL | |
| - | IL | |
| Physician Assistant | IL | |
| General Surgery | IL | |
| General Surgery | IL |
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