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Deactivated NPI 1619443884 Deactivated / Inactive NPI Male Practitioner

Jonathan K Wilson , PA-C

Physician Assistant • Annapolis, MD

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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 Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 15, 2018
NPI Deactivation Date April 07, 2019
Total Practice Duration ~1 Years of Practice (2018 – 2019)

Professional Overview & Biography Verified Profile Summary

Jonathan Wilson, PA-C was a registered Physician Assistant practicing in Annapolis, MD. Throughout an active medical career spanning 1 years, Jonathan Wilson provided care at the practice location at 2000 MEDICAL PKWY STE 101 until profile deactivation on 2019-04-07.

Historical Medicare Part B clinical services included established patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, x-ray of shoulder, minimum of 2 views. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2000 Medical Pkwy Ste 101

Annapolis, MD 214013743

Telephone 4102680380
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Annapolis, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 11.8 Yrs
Regional Practice Density
109 Specialists

Practicing in Annapolis, MD (3255 Statewide)

Telehealth Adoption Rate
26.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.6% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
195 123 $183.00 $79.91
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
164 52 $10.00 $6.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
128 124 $260.00 $112.37
73030 X-ray of shoulder, minimum of 2 views
125 96 $18.16 $7.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
61 61 $206.00 $98.90
73130 X-ray of hand, minimum of 3 views
57 45 $14.98 $7.41
73100 X-ray of wrist, 2 views
48 25 $16.19 $6.98
20610 Aspiration and/or injection of fluid from large joint
29 29 $122.00 $61.15
73070 X-ray of elbow, 2 views
28 23 $16.00 $6.99
73110 X-ray of wrist, minimum of 3 views
28 25 $16.00 $7.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
27 24 $113.00 $50.21
73140 X-ray of finger, minimum of 2 views
23 13 $13.74 $5.81
20550 Injection into tendon or ligament
15 11 $117.80 $51.43
29075 Application of elbow to finger cast
13 12 $169.00 $80.35
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass
12 11 $31.42 $23.39

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.

Practice Associates & Co-Workers

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

11 Associated Practitioners
Maria Braune , PA-C

Physician Assistant - Surgical

NPI 1104375633

Physician Assistant (Certified)

Alec Rogness , PA-C

Physician Assistant

NPI 1164051314

Physician Assistant (Certified)

Kelly Garner , CRNP

Nurse Practitioner

NPI 1295259448

Certified Registered Nurse Practitioner

Bryn Krane , PA-C

Orthopaedic Surgery

NPI 1376974196

Physician Assistant (Certified)

Lauren Arcoraci , CRNP

Nurse Practitioner

NPI 1568128106

Certified Registered Nurse Practitioner

Dr. Stephanie Jones , DPT

Physical Therapist

NPI 1669805529

Doctor of Physical Therapy

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location November 05, 2019

Registered at 2000 MEDICAL PKWY STE 101, ANNAPOLIS, MD 214013743 (Tel: 4102680380)

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Updated Business Mailing Address November 05, 2019

Registered at 2000 MEDICAL PKWY STE 101, ANNAPOLIS, MD 214013743

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Provider Name / Credentials Updated November 05, 2019

Recorded as JONATHAN WILSON, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2019

Physician Assistant

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NPI Profile Deactivated April 07, 2019

Record deactivated on April 07, 2019

NPI Profile Active October 15, 2018

NPI status registered as active in NPPES database

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Updated Practice Location October 15, 2018

Registered at 1010 SAINT CHARLES AVE, BALTIMORE, MD 212294953 (Tel: 4102791313)

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Updated Business Mailing Address October 15, 2018

Registered at 1010 SAINT CHARLES AVE, BALTIMORE, MD 212294953 (Tel: 4102791313)

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Provider Name / Credentials Updated October 15, 2018

Recorded as JONATHAN WILSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2018

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration October 15, 2018

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: 1619443884
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2018
Last Update: November 05, 2019
Deactivation Date: April 07, 2019
Sole Proprietor: No

Mailing Address

2000 Medical Pkwy Ste 101

Annapolis, MD 214013743

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.