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JILL WALLNER M.D.
NPI 1942357942
Family Medicine - Adult Medicine in Crossville, TN

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
28.91/100
CMS Quality Rating
58 W FIRST ST, SUITE 101, CROSSVILLE, TN 38555(931) 456-7992(931) 707-1089 Get Directions Write a Review

NPPES record last updated: July 23, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jill Wallner M.d. NPPES

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

JILL WALLNER M.D. (NPI 1942357942) is an individual adult medicine provider in Crossville, Tennessee, licensed in Tennessee (MD 27432) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Saint Louis University School Of Medicine (1990).

NPPES Registry Identity

NPI1942357942
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameJILL WALLNERCredential: M.D.
Location Address58 W FIRST ST, SUITE 101Crossville, TN 38555-4443
Mailing Address58 W First StCrossville, TN 38555-4443 · (931) 456-7992 · Fax (931) 707-1089
Phone(931) 456-7992
Fax(931) 707-1089
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 1990
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJuly 23, 2010
✔ NPI 1942357942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in TN · MD 27432
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License MD 27432 (TN)
58 W FIRST ST, Crossville, TN 38555
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINF12742TN
Medicare ID-Type Unspecified3097859TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

Jill Wallner 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 ID8325230006
PECOS Enrollment IDI20101013000656
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 8

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
335 services114 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.
283 services129 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
92 services92 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.
34 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
22 services22 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
22 services20 patients

Hospital Affiliations CMS Care Compare

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38555 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

28.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost96.38

Referred Medical Equipment & Supplies CMS DME claims 17

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers22 claims42 services$6.15 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers26 claims26 services$40.72 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers11 claims23 services$40.64 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers19 claims99 services$22.01 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers16 claims85 services$16.64 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers36 claims36 services$64.63 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 2

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

DALE CUVA
Nurse Practitioner (Family)
58 W FIRST ST
CROSSVILLE, TN 38555
Cumberland County (931) 710-5483
MOUNTAIN MEDICINE INTEGRATIVE WELLNESS
Nurse Practitioner (Family)
58 W FIRST ST
CROSSVILLE, TN 38555
Cumberland County (931) 710-5483

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 Jill Wallner's NPI number?

The NPI number for Jill Wallner is 1942357942. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Jill Wallner located?

Jill Wallner practices at 58 W First St Suite 101, Crossville, TN 38555. The listed phone number is (931) 456-7992.

What is Jill Wallner's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Jill Wallner enrolled in Medicare?

Yes. Jill Wallner 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 Jill Wallner accept?

Health plans from BlueCross BlueShield of Tennessee list Jill Wallner 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 Jill Wallner affiliated with any hospitals?

According to CMS data, Jill Wallner is affiliated with Cumberland Medical Center.

When was this NPI record last updated?

The NPPES record for Jill Wallner was last updated on July 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.