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MR. JONATHAN ROBERT DALE PA-C
NPI 1962724260
Physician Assistant in Wallingford, CT

Active since February 28, 2010PECOS EnrolledAccepts Medicare Assignment
863 N MAIN STREET EXT STE 200, WALLINGFORD, CT 06492(203) 265-3280 Get Directions Write a Review

NPPES record last updated: December 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2019, Dec 6, 2019, Mar 6, 2019 (3 updates tracked since 2019).

About Mr. Jonathan Robert Dale Pa-c NPPES

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

MR. JONATHAN ROBERT DALE PA-C (NPI 1962724260) is an individual physician assistant in Wallingford, Connecticut, licensed in Connecticut (4398) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1962724260
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JONATHAN ROBERT DALECredential: PA-C
Location Address863 N MAIN STREET EXT STE 200Wallingford, CT 06492-2434
Mailing Address863 N Main Street Ext Ste 200Wallingford, CT 06492-2434 · (203) 265-3280
Phone(203) 265-3280
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 28, 2010
Last NPPES UpdateDecember 21, 20193 updates tracked since enumeration
✔ NPI 1962724260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CT · 4398
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
863 N MAIN STREET EXT STE 200, Wallingford, CT 06492
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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

Mr. Jonathan Robert Dale Pa-c 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 ID3577804483
PECOS Enrollment IDI20190402002526
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 9

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.
81 services63 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.
37 services28 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
36 services30 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
36 services20 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
28 services21 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
22 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06492 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 13

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

ISABELLA MESTURINI DPT
Physical Therapist
863 N MAIN STREET EXT STE 200
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 265-3280
DR. HUDSON SEIDEL MD
Orthopaedic Surgery (Hand Surgery)
863 N MAIN STREET EXT STE 200
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 265-3280
PATRICK BRYAN CURTIN MD
Orthopaedic Surgery (Hand Surgery)
863 N MAIN STREET EXT STE 200
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 265-3280
COMPREHENSIVE ORTHOPAEDICS
Clinic/Center (Physical Therapy)
863 N MAIN STREET EXT STE 200
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 265-3280
DR. ADAM QUINN FERGUSON D.O.
Orthopaedic Surgery
863 N MAIN STREET EXT STE 200
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 265-3280
RANIA RIFAEY MD
Anesthesiology
863 N MAIN STREET EXT STE 200
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 265-3280
PAULA ANDREA HERNANDEZ ORTIZ
Physical Therapist
863 N MAIN STREET EXT STE 200
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 265-3280
VALERIE W PECKINGHAM PT
Preventive Medicine (Occupational Medicine)
863 N MAIN STREET EXT STE 200
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 265-3280

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 Dale's NPI number?

The NPI number for Jonathan Dale is 1962724260. It was assigned to this individual provider in the NPPES registry on February 28, 2010.

Where is Jonathan Dale located?

Jonathan Dale practices at 863 N Main Street Ext Ste 200, Wallingford, CT 06492. The listed phone number is (203) 265-3280.

What is Jonathan Dale's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jonathan Dale enrolled in Medicare?

Yes. Jonathan Dale 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.

When was this NPI record last updated?

The NPPES record for Jonathan Dale was last updated on December 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.