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DR. JARED JOHN WALLEN M.D.
NPI 1144596974
Urology in Brandon, FL

Active since March 27, 2012PECOS Enrolled
938 OAKFIELD DR, BRANDON, FL 33511(813) 278-8850(813) 820-3508 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 30, 2023, Jul 21, 2022, Aug 21, 2017 (3 updates tracked since 2017).

About Dr. Jared John Wallen M.d. NPPES

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

DR. JARED JOHN WALLEN M.D. (NPI 1144596974) is an individual urology provider in Brandon, Florida, licensed in Florida (ME131777) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Melbourne.

NPPES Registry Identity

NPI1144596974
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JARED JOHN WALLENCredential: M.D.
Location Address938 OAKFIELD DRBrandon, FL 33511-4950
Mailing Address938 Oakfield DrBrandon, FL 33511-4950 · (813) 278-8850 · Fax (813) 820-3508
Phone(813) 278-8850
Fax(813) 820-3508
Sole ProprietorNo
Enumeration DateMarch 27, 2012
Last NPPES UpdateOctober 30, 20233 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1144596974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME131777
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
938 OAKFIELD DR, Brandon, FL 33511
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Secondary Practice Location 1

Location 11350 Hickory StMelbourne, FL 32901-3224 · Phone (321) 434-1771 · Fax (321) 434-1775

Other Identifiers 1

Medicaid120075300FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jared John Wallen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jared Wallen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Hospital Physician Group Inc
12 mi
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
NPI 1174955256 (813) 336-5766
Monument Health Rapid City Hospital, Inc.
1,565 mi
Family Medicine
112 7TH AVENUE
Wall, SD 57790
  • Reassigned Medicare billing, South Dakota enrollment
  • 831 clinicians in this Medicare group
NPI 1265811285 (605) 279-2149
Reedley Community Hospital
2,240 mi
General Acute Care Hospital
372 W. CYPRESS AVE
Reedley, CA 93654
  • Reassigned Medicare billing, California enrollment
  • 315 clinicians in this Medicare group
NPI 1336167550 (559) 638-8155
Orohealth Corporation A Non Profit Healthcare System
2,375 mi
Family Medicine
2767 OLIVE HWY
Oroville, CA 95966
  • Reassigned Medicare billing, California enrollment
  • 267 clinicians in this Medicare group
NPI 1013933167 (530) 533-8500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.
95 services86 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES

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

JESSICA L KING APRN
Nurse Practitioner (Family)
938 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 278-8850

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 Jared Wallen's NPI number?

The NPI number for Jared Wallen is 1144596974. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is Jared Wallen located?

Jared Wallen practices at 938 Oakfield Dr, Brandon, FL 33511. The listed phone number is (813) 278-8850.

What is Jared Wallen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jared Wallen enrolled in Medicare?

Yes. Jared Wallen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jared Wallen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Wallen reassigns Medicare benefits to 4 organizations: Florida Hospital Physician Group Inc (Tampa, FL), Monument Health Rapid City Hospital, Inc. (Wall, SD), Reedley Community Hospital (Reedley, CA) and Orohealth Corporation A Non Profit Healthcare System (Oroville, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jared Wallen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jared Wallen was last updated on October 30, 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.