DR. JONATHAN WALLACE M.D.
NPI 1568422012
Surgery in Hoffman Estates, IL

Q: What is Jonathan Wallace's NPI number?

The NPI number for Jonathan Wallace is 1568422012. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Q: What is Jonathan Wallace's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Wallace was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment

4885 HOFFMAN BLVD, SUITE 400, HOFFMAN ESTATES, IL 60192(847) 255-9697(847) 255-9697 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Jonathan Wallace M.d. NPPES

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

DR. JONATHAN WALLACE M.D. (NPI 1568422012) is an individual surgery provider in Hoffman Estates, Illinois, licensed in Illinois (036108563) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Hospital - Elgin, and maintains a secondary practice location in Elk Grove Village.

NPPES Registry Identity

NPI1568422012

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. JONATHAN WALLACECredential: M.D.

Location Address4885 HOFFMAN BLVD, SUITE 400Hoffman Estates, IL 60192-3726

Mailing Address4885 Hoffman Blvd, Suite 400Hoffman Estates, IL 60192-3726 · (847) 255-9697 · Fax (847) 255-9697

Phone(847) 255-9697

Fax(847) 255-9697

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 1998

Enumeration DateMarch 27, 2006

Last NPPES UpdateMarch 19, 2021

NPPES CertifiedMarch 19, 2021

✔ NPI 1568422012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IL · 036108563

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSpecialistTaxonomy 174400000X · License 036108563 (IL)

4885 HOFFMAN BLVD, Hoffman Estates, IL 60192

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Secondary Practice Location 1

Location 1955 Beisner RdElk Grove Village, IL 60007-3475 · Phone (847) 640-5666

Other Identifiers 1

Medicaid036108563IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan Wallace M.d. 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 ID8224109566

PECOS Enrollment IDI20080613000594

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

Medicare enrollment records show Jonathan Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Suburban Surgical Care Specialists, S.C.

Same address

Surgery

4885 HOFFMAN BLVD., SUITE 400
Hoffman Estates, IL 60192

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Suburban Surgical Care Specialists Sc
6 clinicians in this Medicare group

NPI 1871613489 (847) 255-9697

Bonaventure Medical Foundation, LLC

10 mi

Family Medicine

701 BIESTERFIELD RD UNIT 4D
Elk Grove Village, IL 60007

Reassigned Medicare billing, Illinois enrollment
281 clinicians in this Medicare group

NPI 1588775647 (855) 692-6482

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 12

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

92 services85 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

68 services49 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.

41 services41 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

41 services40 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

39 services26 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

34 services25 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

27 services27 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.

22 services19 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.

20 services19 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

14 services14 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

13 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Presence Saint Joseph Hospital - Elgin

Acute Care Hospitals · Elgin, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140217

Location77 N Airlite StreetElgin, IL 60123 · Kane County

Emergency services

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140258

Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County

Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140290

Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60192 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 18

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

STEVEN J SHANDLEY DDS AND M ELIZABETH KANE DDS PC

Dentist (General Practice)

4885 HOFFMAN BLVD, SUITE #300
HOFFMAN ESTATES, IL 60192

Cook County (847) 454-7828

DR. M. ELIZABETH KANE D.D.S.

Dentist (General Practice)

4885 HOFFMAN BLVD, SUITE #300
HOFFMAN ESTATES, IL 60192

Cook County (847) 454-7828

BEAIRD DERMATOLOGY S C

Dermatology

4885 HOFFMAN BLVD, SUITE #407
HOFFMAN ESTATES, IL 60192

Cook County (224) 484-0183

ANGELA MABILANGAN

Licensed Practical Nurse

4885 HOFFMAN BLVD
HOFFMAN ESTATES, IL 60192

Cook County (847) 645-1443

DR. LESLIE J.M. BEAIRD M.D.

Dermatology

4885 HOFFMAN BLVD, SUITE 407
HOFFMAN ESTATES, IL 60192

Cook County (224) 484-0183

PETER C RANTIS M.D.

Specialist

4885 HOFFMAN BLVD, SUITE 400
HOFFMAN ESTATES, IL 60192

Cook County (847) 255-9697

HINES VAMC

Clinic/Center (VA)

4885 HOFFMAN BLVD
HOFFMAN ESTATES, IL 60192

Cook County (608) 821-7200

DR. STEVEN J SHANDLEY D.D.S.

Dentist (General Practice)

4885 HOFFMAN BLVD, SUITE #300
HOFFMAN ESTATES, IL 60192

Cook County (847) 454-7828

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 Jonathan Wallace's NPI number?

The NPI number for Jonathan Wallace is 1568422012. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Jonathan Wallace located?

Jonathan Wallace practices at 4885 Hoffman Blvd Suite 400, Hoffman Estates, IL 60192. The listed phone number is (847) 255-9697.

What is Jonathan Wallace's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jonathan Wallace enrolled in Medicare?

Yes. Jonathan Wallace 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.

Which organizations bill Medicare for Jonathan Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Wallace reassigns Medicare benefits to 2 organizations: Suburban Surgical Care Specialists, S.C. (Hoffman Estates, IL) and Bonaventure Medical Foundation, LLC (Elk Grove Village, IL). 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 Jonathan Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Wallace accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jonathan Wallace 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 Jonathan Wallace affiliated with any hospitals?

According to CMS data, Jonathan Wallace is affiliated with Presence Saint Joseph Hospital - Elgin, Alexian Brothers Medical Center 1 and St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Wallace was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.