Jonathan Robert Dale , PA-C
Physician Assistant • Wallingford, CT
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jonathan Dale has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jonathan Dale, PA-C was a registered Physician Assistant practicing in Wallingford, CT. Throughout an active medical career spanning 1 years, Jonathan Dale provided care at the practice location at 863 N MAIN STREET EXT STE 200 until profile deactivation on 2019-01-21.
Jonathan Dale was affiliated with Comprehensive Orthopedics And Musculoskeletal Care Llc and accepted Medicare assignment.
Historical Medicare Part B clinical services included established patient outpatient office visit, x-ray of knee, 3 views, x-ray of hip, 2-3 views. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
863 N Main Street Ext Ste 200
Wallingford, CT 064922434
Medicare Profile & Education
Other
2018
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Wallingford, CT
Practicing in Wallingford, CT (2065 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
81 | 63 | $175.00 | $80.57 |
|
73562
X-ray of knee, 3 views
|
37 | 28 | $141.11 | $37.02 |
|
73502
X-ray of hip, 2-3 views
|
36 | 30 | $200.00 | $41.10 |
|
73610
X-ray of ankle, minimum of 3 views
|
36 | 20 | $140.00 | $32.28 |
|
73030
X-ray of shoulder, minimum of 2 views
|
28 | 21 | $157.93 | $31.62 |
|
72170
X-ray of pelvis, 1-2 views
|
22 | 19 | $129.00 | $25.21 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
21 | 21 | $275.00 | $99.17 |
|
73110
X-ray of wrist, minimum of 3 views
|
19 | 13 | $134.00 | $35.78 |
|
73502
X-ray of hip, 2-3 views
|
15 | 13 | $200.00 | $9.30 |
Medical Specialties & State Licenses
CMS Verified: 2019-12-21NUCC 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.
Hospital & Practice Group Affiliations
Comprehensive Orthopedics And Musculoskeletal Care Llc
863 N Main St Ext, Wallingford, CT 064922434
Phone: 2032653280
Comprehensive Orthopedics And Musculoskeletal Care Llc
601 N Main St, Southington, CT 064892500
Phone: 2032653280
Comprehensive Orthopedics And Musculoskeletal Care Llc
455 Lewis Ave, Meriden, CT 064512121
Phone: 2032653280
Comprehensive Orthopedics And Musculoskeletal Care Llc
98 Main St, Southington, CT 064892500
Phone: 2032653280
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physical Therapist
Doctor of Physical Therapy
Orthopaedic Surgery - Hand Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery - Hand Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Osteopathic Medicine (D.O.)
Orthopaedic Surgery
Doctor of Medicine (M.D.), Master of Business Administration
Anesthesiology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 863 N MAIN STREET EXT STE 200, WALLINGFORD, CT 064922434 (Tel: 2032653280)
Registered at 863 N MAIN STREET EXT STE 200, WALLINGFORD, CT 064922434 (Tel: 2032653280)
Registered at 60 OLD NEW MILFORD RD STE 3E, BROOKFIELD, CT 068042414 (Tel: 2037756205)
Registered at 261 SAMS RD UNIT D, MERIDEN, CT 064517512 (Tel: 2039151087)
Recorded as JONATHAN DALE, PA-C
Physician Assistant (License #4398 in CT)
Record deactivated on January 21, 2019
NPI status registered as active in NPPES database
Registered at 300 BOSTON POST RD, WEST HAVEN, CT 065161916 (Tel: 2039327000)
Registered at 261 SAMS RD UNIT D, MERIDEN, CT 064517512 (Tel: 2039151087)
Recorded as JONATHAN DALE, MS, ATC
Specialist/Technologist (License #000506 in CT)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Jonathan Dale
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
863 N Main Street Ext Ste 200
Wallingford, CT 064922434
Phone: 2032653280
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.