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Jonathan O Wallace , CRNA

Anesthesiology โ€ข Mobile, AL

Active NPI 1609821156 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

5 Mobile Infirmary Cir
Mobile, AL 366073513

Call 2514324497 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5 Mobile Infirmary Cir

Mobile, AL 366073513

Telephone 2514324497
Fax 2514320577
Organization at the Same NPPES Address or Phone
Mobile Infirmary Association Facility NPI 1558364802

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Anesthesiologists Associated Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2005

Medicare patients

75 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $2,197 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $1,744 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Open Payments general payments, program year 2025

All general payments: $51.73 across 2 records.

By nature of payment

  • Food and Beverage: $51.73 across 2 records.

Reporting-company totals

  • Becton, Dickinson and Company: $31.74 across 1 record.
  • Merck Sharp & Dohme LLC: $19.99 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

21 years (graduated 2005)

CMS Doctors and Clinicians data list 2005 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jonathan Wallace has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Mobile and Alabama

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 95% of clinicians listed under Anesthesiology in Mobile, AL (2024, 37 clinicians with data). Median for this group: 168. Middle half: 96 to 279.

Fewer Medicare Part B services than 95% of clinicians listed under Anesthesiology in Alabama (2024, 370 clinicians with data). Median for this group: 174. Middle half: 89 to 302.

Medicare-allowed amount

A lower Medicare-allowed amount than 95% of clinicians listed under Anesthesiology in Mobile, AL (2024, 37 clinicians with data). Median for this group: $11,885. Middle half: $9,145 to $25,139.

A lower Medicare-allowed amount than 90% of clinicians listed under Anesthesiology in Alabama (2024, 370 clinicians with data). Median for this group: $15,611. Middle half: $7,458 to $24,608.

Paid by Medicare

A lower Medicare payment amount than 95% of clinicians listed under Anesthesiology in Mobile, AL (2024, 37 clinicians with data). Median for this group: $9,161. Middle half: $7,096 to $19,624.

A lower Medicare payment amount than 90% of clinicians listed under Anesthesiology in Alabama (2024, 370 clinicians with data). Median for this group: $12,296. Middle half: $5,981 to $19,513.

54 active clinicians are listed under Anesthesiology with a practice address in Mobile, AL (581 in Alabama).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mobile

0% of these 54 clinicians have the CMS telehealth indicator.

64.8% of these 54 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $51.73.

Manufacturer Payment Nature Product Type Amount ($)
Becton, Dickinson and Company
Food and Beverage
In-kind items and services
HemoSphere General $31.74
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
BRIDION General $19.99

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
00790 Anesthesia for other procedure on upper abdomen
12 12 $682.50 $183.05

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

License # reported to NPPES AL 1101813

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Nurse Anesthetist, Certified Registered

NUCC Taxonomy Code: 367500000X

License # reported to NPPES AL 1101813

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alabama State Board of Medical Examiners.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

Medicare Enrollment ID

I20060418000337

Enrollment State Jurisdiction

AL

PECOS Control ID

5294744348

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Anesthesiologists Associated Pc

701 Princeton Ave Sw, Birmingham, AL 352111303

Phone: 2058482925

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

37 listed
Shannon Beall , CRNA

Nurse Anesthetist, Certified Registered

NPI 1831184084

Certified Registered Nurse Anesthetist

Kenneth Bennett , CRNA

Nurse Anesthetist, Certified Registered

NPI 1942254263

Certified Registered Nurse Anesthetist

Dr. Jon Botts , DO

Anesthesiology

NPI 1740275585

Doctor of Osteopathic Medicine (D.O.)

NPI 1326033168

Doctor of Medicine (M.D.)

Amanda Bruns , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093902355

Certified Registered Nurse Anesthetist

John Bruns , CRNA

Nurse Anesthetist, Certified Registered

NPI 1508852922

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2025

Nurse Anesthetist, Certified Registered (license number reported to NPPES: AL 1101813)

โœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 08, 2007

Registered at 5 MOBILE INFIRMARY CIR, MOBILE, AL 366073513 (Tel: 2514324497)

๐Ÿ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at PO BOX 934369, ATLANTA, GA 311930001 (Tel: 8008976169)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as JONATHAN WALLACE, CRNA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Anesthesiology (license number reported to NPPES: AL 1101813)

๐ŸŸข
Initial NPI Registration & Enumeration May 23, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609821156
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2006
Last Update: September 11, 2025
Sole Proprietor: No

Other Anesthesiology Specialists in Mobile

All Anesthesiology Specialists in Mobile

Mailing Address

Po Box 934369

Atlanta, GA 311930001

Phone: 8008976169

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.