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Active NPI 1720831258 Individual Practitioner Male Practitioner

Nathan Hallam , PA

Physician Assistant • Modesto, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nathan Hallam, PA is a certified Physician Assistant practicing in Modesto, CA. With approximately 2 years of clinical experience since completing medical education in 2024, Nathan Hallam delivers high-quality medical care to the local community at 600 COFFEE RD.

Nathan Hallam is affiliated with Sutter Valley Medical Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 Coffee Rd

Modesto, CA 953554201

Telephone 2095697408
Fax 2094917587
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Modesto, CA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -9.3 yrs vs City Avg
City Avg: 11.3 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
124 Specialists

Practicing in Modesto, CA (14617 Statewide)

Telehealth Adoption Rate
14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hallam (2 Years) 2 Yrs
Modesto Specialty Average (11.3 Years) 11.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
18 17 $175.00 $86.96

Medical Specialties & State Licenses

CMS Verified: 2024-10-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 64617

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.

Hospital & Practice Group Affiliations

Sutter Valley Medical Foundation

1700 Coffee Rd, Modesto, CA 953552803

Phone: 2095264500

Sutter Valley Medical Foundation

600 Coffee Rd, Modesto, CA 953554201

Phone: 2095241211

Practice Associates & Co-Workers

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

30 Associated Practitioners
NPI 1083775787

Doctor of Medicine (M.D.)

Dr. Simrandeep Khanuja , MD

Internal Medicine - Critical Care Medicine

NPI 1093230070

Doctor of Medicine (M.D.)

Dr. Kyaw Yu San , MD

Internal Medicine

NPI 1093376295

Doctor of Medicine (M.D.)

Dr. Lee Donohue , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1114122520

Doctor of Medicine (M.D.)

NPI 1114339017

Doctor of Medicine (M.D.)

Dr. Tejasvi Sunkara , MD

Internal Medicine

NPI 1154708816

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 30, 2024

Registered at 600 COFFEE RD, MODESTO, CA 953554201 (Tel: 2095697408)

📍
Updated Business Mailing Address October 30, 2024

Registered at PO BOX 255228, SACRAMENTO, CA 958655228

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2024

Physician Assistant (License #64617 in CA)

NPI Profile Active April 05, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2024

Registered at 987 S GENEVA RD, OREM, UT 840586085 (Tel: 8018637982)

📍
Updated Business Mailing Address April 05, 2024

Registered at 987 S GENEVA RD, OREM, UT 840586085

👤
Provider Name / Credentials Updated April 05, 2024

Recorded as NATHAN HALLAM, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration April 05, 2024

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: 1720831258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2024
Last Update: October 30, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 255228

Sacramento, CA 958655228

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.