Doctor profile · Federal record
Dr. JONATHAN WILDY, CRNA
Certified Registered Nurse Anesthetist (CMS: CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)) · Registered Nurse · Student in an Organized Health Care Education/Training Program · Certified Registered Nurse Anesthetist · Certified Registered Nurse Anesthetist · PRAIRIE VILLAGE, KS
- NPI 1619137288
- Accepts Medicare
- MIPS 87.6 / 100 · 2023
- 17 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5101 W 73RD ST
PRAIRIE VILLAGE, KS 662082434
(619) 600-1023
Credentials & registration
- NPI registered
- June 2008 — 18 yrs on file
- Profile last updated
- October 18, 2011
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (4)
- California #3906 · Kansas #1390081012 · Virginia #0024168911 · Kansas #556930
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1619137288. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
130
Distinct HCPCS
6
Medicare allowed
$21,206
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 41 | 41 | $121 | |
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 36 | 36 | $123 | |
01402 |
Anesthesia for procedure for total knee joint replacement | 16 | 15 | $306 | |
00813 |
Anesthesia for procedure on small and large bowel using an endoscope | 15 | 15 | $150 | |
00790 |
Anesthesia for other procedure on upper abdomen | 11 | 11 | $328 | |
00812 |
Anesthesia for exam of colon using an endoscope | 11 | 11 | $95 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 31. This provider delivers 4.2× the peer median.