JEFFREY M WALLENTINE MD
NPI 1124121934
Orthopaedic Surgery in Provo, UT

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
1055 N 500 W, SUITE 121, PROVO, UT 84604(801) 373-7350(801) 812-5401 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2020, Nov 1, 2018 (2 updates tracked since 2018).

About Jeffrey M Wallentine Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY M WALLENTINE MD (NPI 1124121934) is an individual orthopaedic surgery provider in Provo, Utah, licensed in Utah (356423-1205) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1124121934
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJEFFREY M WALLENTINECredential: MD
Location Address1055 N 500 W, SUITE 121Provo, UT 84604-3305
Mailing Address1055 N 500 W, Credentialing DepartmentProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Fax(801) 812-5401
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1992
Enumeration DateSeptember 7, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2020
NPI 1124121934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in UT · 356423-1205
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1055 N 500 W, Provo, UT 84604

Secondary Practice Locations 5

Location 1700 W 800 N Ste 100Orem, UT 84057-6301 · Phone (801) 373-7350
Location 265 E 100 N, Ste AGunnison, UT 84634 · Phone (801) 373-7350
Location 31100 S Medical DrMT Pleasant, UT 84647-2222 · Phone (801) 373-7350
Location 4555 W SR 164Salem, UT 84653 · Phone (801) 373-7350
Location 51130 Smith FieldhouseProvo, UT 84602-2246 · Phone (801) 373-7350

Other Identifiers 8

Other107008449102UT · Ihc
Other68080UT · Pehp
Other09-00180UT · Utah Healthcare
Other344490UT · Dmba
Medicaid870281028000UT
OtherQM000056640UT · Altius
Other200045124UT · Palmetto
Other870281028WALUT · Emia

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jeffrey M Wallentine Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143208538
PECOS Enrollment IDI20040712001081
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
536 services94 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
160 services136 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
143 services116 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
133 services119 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
99 services75 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
84 services65 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Payson, UT
4/5 CMS rating
OwnershipProprietary
CMS Certification Number460013
Location1000 East 100 NorthPayson, UT 84651 · Utah County
Emergency services Birthing friendly

Timpanogos Regional Hospital

Acute Care Hospitals · Orem, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460052
Location750 West 800 NorthOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Spanish Fork Hospital

Acute Care Hospitals · Spanish Fork, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460062
Location765 East Market Place DriveSpanish Fork, UT 84660 · Utah County
Emergency services Birthing friendly

Sanpete Valley Hospital - Cah

Critical Access Hospitals · Mount Pleasant, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461303
Location1100 South Medical DriveMount Pleasant, UT 84647 · Sanpete County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Synthetic sheepskin pad E0188
DME-Other DME · category DE000N
1 supplier50 claims50 services$21.47 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers29 claims29 services$16.66 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
3 suppliers62 claims1,068 services$18.67 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers56 claims59 services$94.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1055 N 500 W
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 500 W, STE 211, BUILDING C
PROVO, UT 84604
Orthopaedic Surgery (Hand Surgery)
1055 N 500 W, STE 121, BUILDING C
PROVO, UT 84604
Orthopaedic Surgery
1055 N 500 W, STE 121
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 500 W, STE 205
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 500 W, STE 211
PROVO, UT 84604
Family Medicine
1055 N 500 W, BLDG A
PROVO, UT 84604
Internal Medicine
1055 N 500 W
PROVO, UT 84604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Wallentine's NPI number?

The NPI number for Jeffrey Wallentine is 1124121934. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Jeffrey Wallentine located?

Jeffrey Wallentine practices at 1055 N 500 W Suite 121, Provo, UT 84604. The listed phone number is (801) 373-7350.

What is Jeffrey Wallentine's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jeffrey Wallentine enrolled in Medicare?

Yes. Jeffrey Wallentine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeffrey Wallentine accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Jeffrey Wallentine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jeffrey Wallentine affiliated with any hospitals?

According to CMS data, Jeffrey Wallentine is affiliated with Utah Valley Hospital, Mountain View Hospital, Timpanogos Regional Hospital, Spanish Fork Hospital and Sanpete Valley Hospital - Cah.

When was this NPI record last updated?

The NPPES record for Jeffrey Wallentine was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.