Active NPI 1063746667 Individual Practitioner Male Practitioner

Jared Lee Wallace , PA-C

Physician Assistant • Kenai, AK

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jared Wallace, PA-C is a certified Physician Assistant practicing in Kenai, AK. With approximately 17 years of clinical experience since completing medical education in 2009, Jared Wallace delivers high-quality medical care to the local community at 43783 KENAI SPUR HWY.

Jared Wallace is affiliated with Odyssey Family Practice and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

43783 Kenai Spur Hwy

Kenai, AK 99611

Telephone 9072839116

Fax 9072839122

Associated Practice Facility / Clinic

🏢 R Lynn Carlson Md Pc Medicenter Facility NPI 1215385794

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Kenai, AK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +1.8 yrs vs City Avg

City Avg: 15.2 Yrs

State Avg: 15.7 Yrs

Regional Practice Density

6 Specialists

Practicing in Kenai, AK (551 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

71.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (17 Years) 17 Yrs

Kenai Specialty Average (15.2 Years) 15.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	434	161	$363.89	$133.84
99213 Established patient office or other outpatient visit, typically 15 minutes	270	151	$259.61	$93.99
36415 Insertion of needle into vein for collection of blood sample	202	146	$35.00	$8.65
83036 Hemoglobin A1C level	106	62	$33.00	$9.52
G0442 Annual alcohol misuse screening, 5 to 15 minutes	71	71	$24.85	$19.01
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	66	60	$64.00	$22.84
G0444 Annual depression screening, 5 to 15 minutes	65	65	$24.92	$19.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	62	62	$371.60	$137.42
81003 Automated urinalysis test	59	53	$9.86	$2.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	50	$530.48	$190.59
95923 Testing of autonomic (sympathetic) nervous system function	53	51	$567.08	$118.66
82044 Urine microalbumin (protein) analysis	52	49	$26.00	$6.11
93000 Routine ekg using at least 12 leads including interpretation and report	52	51	$174.04	$14.47
82570 Creatinine level to test for kidney function or muscle injury	51	48	$26.00	$5.08
80305 Testing for presence of drug, read by direct observation	51	28	$100.00	$12.09
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	17	$60.89	$14.76
93922 Ultrasound study of arm and leg arteries	46	45	$360.30	$75.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	33	$160.31	$58.01
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	27	16	$132.00	$38.67
92250 Photography of the retina	19	19	$180.26	$37.78
94060 Test to measure expiratory airflow and volume changes before and after medication administration	16	14	$255.00	$37.46
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	15	14	$464.00	$156.05
71046 X-ray of chest, 2 views	14	11	$107.67	$25.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	312	107	$175.27	$137.89
99213 Established patient office or other outpatient visit, typically 15 minutes	242	145	$127.04	$95.64
36415 Insertion of needle into vein for collection of blood sample	145	106	$35.00	$8.35
83036 Hemoglobin A1C level	59	40	$33.00	$9.52
81003 Automated urinalysis test	52	50	$6.08	$2.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	13	$17.43	$14.91
80305 Testing for presence of drug, read by direct observation	33	15	$100.00	$12.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$164.54	$139.23
82570 Creatinine level to test for kidney function or muscle injury	26	26	$26.00	$5.08
82044 Urine microalbumin (protein) analysis	25	25	$26.00	$6.11
G0442 Annual alcohol misuse screening, 5 to 15 minutes	22	22	$22.22	$18.96
76706 Ultrasound scan of abdominal aorta	19	19	$123.03	$105.18
71046 X-ray of chest, 2 views	17	17	$48.21	$33.28
G0444 Annual depression screening, 5 to 15 minutes	17	17	$22.22	$18.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$246.87	$186.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$95.17	$57.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	296	114	$178.20	$141.68
99213 Established patient office or other outpatient visit, typically 15 minutes	235	128	$130.49	$98.28
36415 Insertion of needle into vein for collection of blood sample	153	114	$35.00	$2.92
83036 Hemoglobin A1C level	66	46	$33.00	$9.44
81003 Automated urinalysis test	39	32	$6.00	$2.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$171.67	$144.70
80305 Testing for presence of drug, read by direct observation	27	11	$100.00	$12.40
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	21	17	$225.00	$50.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	11	$290.60	$199.40
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	13	$33.21	$24.11
82570 Creatinine level to test for kidney function or muscle injury	13	12	$25.15	$5.11
82044 Urine microalbumin (protein) analysis	13	12	$25.31	$6.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$219.76	$185.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	83	$321.86	$144.34
99213 Established patient office or other outpatient visit, typically 15 minutes	224	118	$224.08	$100.80
36415 Insertion of needle into vein for collection of blood sample	82	71	$35.00	$2.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	22	$134.64	$61.23
83036 Hemoglobin A1C level	28	22	$33.00	$9.71
0012A Adm sarscov2 100mcg/0.5ml2nd	26	24	$75.00	$34.10
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	20	20	$225.00	$51.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$475.40	$187.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$243.47	$123.98
0011A Adm sarscov2 100mcg/0.5ml1st	13	13	$75.00	$21.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	260	98	$320.00	$119.53
99213 Established patient office or other outpatient visit, typically 15 minutes	242	106	$218.40	$82.27
36415 Insertion of needle into vein for collection of blood sample	94	66	$35.00	$2.98
83036 Hemoglobin A1C level	38	26	$33.00	$9.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$488.00	$183.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$315.00	$118.31
81003 Automated urinalysis test	28	26	$6.00	$2.22
93000 Routine ekg using at least 12 leads including interpretation and report	24	21	$59.00	$18.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	16	$432.00	$162.98
82570 Creatinine level to test for kidney function or muscle injury	14	12	$13.00	$5.14
82044 Urine microalbumin (protein) analysis	14	12	$13.00	$6.19
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$622.00	$190.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	21	$309.56	$119.18
99213 Established patient office or other outpatient visit, typically 15 minutes	23	16	$201.74	$81.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	40	$196.00	$79.77
36415 Insertion of needle into vein for collection of blood sample	37	29	$39.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	29	$273.00	$118.56
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	27	24	$163.00	$9.40
80053 Blood test, comprehensive group of blood chemicals	24	21	$118.00	$12.78
80061 Blood test, lipids (cholesterol and triglycerides)	14	12	$113.00	$16.20
83036 Hemoglobin A1C level	13	11	$76.00	$11.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$229.00	$117.12

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1020379 (AK)

Hospital & Practice Group Affiliations

Odyssey Family Practice

11595 Kenai Spur Hwy, Kenai, AK 996117757

Phone: 9072838300

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 25, 2016

Registered at 43783 KENAI SPUR HWY, KENAI, AK 99611 (Tel: 9072839116)

📍

Updated Business Mailing Address May 25, 2016

Registered at 43783 KENAI SPUR HWY, KENAI, AK 996119708 (Tel: 9072839116)

👤

Provider Name / Credentials Updated May 25, 2016

Recorded as JARED WALLACE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2016

Physician Assistant

🟢

Initial NPI Registration & Enumeration September 29, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1063746667

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 29, 2009

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

43783 Kenai Spur Hwy

Kenai, AK 996119708

Phone: 9072839116

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.