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Active NPI 1114209525 Individual Practitioner Male Practitioner

Ryan C. Wallentine , PA-AA

Anesthesiologist Assistant • Macon, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ryan Wallentine, PA-AA is a certified Anesthesiologist Assistant practicing in Macon, GA. With approximately 15 years of clinical experience since graduating from Nova Southeastern Univ College Of Dental Medicine in 2011, Ryan Wallentine delivers high-quality medical care to the local community at 380 HOSPITAL DR.

Ryan Wallentine is affiliated with Piedmont Anesthesia Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for exam of colon using an endoscope, anesthesia for procedure on spine and spinal cord. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

380 Hospital Dr
Suite 410

Macon, GA 31217

Telephone 4787465644
Fax 4787454849
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Nova Southeastern Univ College Of Dental Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Macon, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs -3.7 yrs vs City Avg
City Avg: 18.7 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
49 Specialists

Practicing in Macon, GA (1558 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallentine (15 Years) 15 Yrs
Macon Specialty Average (18.7 Years) 18.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
23 23 $504.91 $67.08
00812 Anesthesia for exam of colon using an endoscope
21 21 $451.50 $50.15
00670 Anesthesia for procedure on spine and spinal cord
14 14 $1806.00 $252.92

Medical Specialties & State Licenses

Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License GA 006279

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Anesthesiologist Assistant

NUCC Taxonomy Code: 367H00000X

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003114063D (GA)
Medicaid State Provider ID
003114063C (GA)
Medicaid State Provider ID
003114063B (GA)
Medicaid State Provider ID
003114063A (GA)
Commercial Insurance / Payer ID Railroad Medicare
P01003812 (GA)
Commercial Insurance / Payer ID Wellcare
635417 (GA)
Commercial Insurance / Payer ID Tricare
580628385 (GA)

Hospital & Practice Group Affiliations

Piedmont Anesthesia Llc

350 Hospital Dr, Macon, GA 312173838

Phone: 4787467577

Piedmont Anesthesia Llc

340 Hospital Dr, Macon, GA 312173838

Phone: 4787467577

Piedmont Anesthesia Llc

1133 Eagles Landing Pkwy, Stockbridge, GA 302815085

Phone: 8002421131

Practice Associates & Co-Workers

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

40 Associated Practitioners
Virginia Crouse , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013370287

Certified Registered Nurse Anesthetist

Angela Jenkins , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023098977

Certified Registered Nurse Anesthetist

NPI 1043202633

Doctor of Medicine (M.D.)

Keath Morgan , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073570321

Certified Registered Nurse Anesthetist

Kelli Smith , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073903175

Certified Registered Nurse Anesthetist

Christopher Spivey , CRNA

Nurse Anesthetist, Certified Registered

NPI 1114299492

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 04, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 04, 2013

Registered at 380 HOSPITAL DR, SUITE 410, MACON, GA 31217 (Tel: 4787465644)

📍
Updated Business Mailing Address June 04, 2013

Registered at PO BOX 2564, MACON, GA 312032564 (Tel: 4787465644)

👤
Provider Name / Credentials Updated June 04, 2013

Recorded as RYAN WALLENTINE, PA-AA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2013

Anesthesiologist Assistant (License #006279 in GA)

🟢
Initial NPI Registration & Enumeration September 12, 2011

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: 1114209525
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2011
Last Update: June 04, 2013
Sole Proprietor: No

Mailing Address

Po Box 2564

Macon, GA 312032564

Phone: 4787465644

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.