Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558305540 Individual Practitioner Male Practitioner

Dr. Alan Dale Wamboldt , MD

Specialist • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Alan Wamboldt, MD is a registered healthcare professional specializing in Specialist in Mesa, AZ. Practice services are available at 7525 E BROADWAY RD under active NPI credentials.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7525 E Broadway Rd
Suite 3

Mesa, AZ 852082002

Telephone 4808322097
Fax 4808320530
Associated Practice Facility / Clinic
🏢 M&m Powell Inc. Facility NPI 1063414860

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 46.3 Yrs
State Avg: 35.9 Yrs
Regional Practice Density
42 Specialists

Practicing in Mesa, AZ (826 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
1,453 286 $10.00 $1.80
99213 Established patient office or other outpatient visit, typically 15 minutes
1,387 652 $85.00 $71.41
20610 Aspiration and/or injection of fluid from large joint
564 290 $159.31 $61.12
73560 X-ray of knee, 1-2 views
465 318 $45.00 $30.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
271 271 $135.00 $105.09
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose
226 67 $225.00 $142.04
73030 X-ray of shoulder, minimum of 2 views
173 130 $50.00 $28.54
73502 X-ray of hip, 2-3 views
141 121 $55.00 $40.23
72100 X-ray of lower and sacral spine, 2-3 views
123 120 $65.00 $34.24
73110 X-ray of wrist, minimum of 3 views
44 33 $55.00 $34.20
73610 X-ray of ankle, minimum of 3 views
40 21 $45.00 $30.71
73630 X-ray of foot, minimum of 3 views
30 18 $45.00 $28.65
73070 X-ray of elbow, 2 views
26 20 $45.00 $26.60
20605 Aspiration and/or injection of medium joint or joint capsule
20 14 $120.00 $48.63
73521 X-ray of both hips, 2 views
14 13 $55.00 $36.67
20550 Injection into tendon or ligament
13 12 $140.00 $52.34

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AZ 17046

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Robert Tully , MD

Internal Medicine - Geriatric Medicine

NPI 1013932870

Doctor of Medicine (M.D.)

Jerrid Lujan

Nurse Practitioner - Family

NPI 1043142268
Dr. Gamal Aboul-Nasr , MD

Internal Medicine - Geriatric Medicine

NPI 1104850288

Doctor of Medicine (M.D.)

Dr. Ronald Sampson , MD

Internal Medicine - Geriatric Medicine

NPI 1194740969

Doctor of Medicine (M.D.)

Gurpreet Kaur

Nurse Practitioner - Family

NPI 1285439364
Gloria Obaigwa

Nurse Practitioner - Adult Health

NPI 1386223329

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 16, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2008

Registered at 7525 E BROADWAY RD, SUITE 3, MESA, AZ 852082002 (Tel: 4808322097)

📍
Updated Business Mailing Address January 16, 2008

Registered at 7525 E BROADWAY RD, SUITE 3, MESA, AZ 852082002 (Tel: 4808322097)

👤
Provider Name / Credentials Updated January 16, 2008

Recorded as ALAN WAMBOLDT, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2008

Specialist (License #17046 in AZ)

🟢
Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558305540
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2006
Last Update: January 16, 2008
Sole Proprietor: Yes

Mailing Address

7525 E Broadway Rd, Suite 3

Mesa, AZ 852082002

Phone: 4808322097

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.