npidexNPI registry + Medicare data

HEATHER WALLACE, DSC., PA-C

Surgical Physician Assistant · DULUTH, MN

Individual Active NPI 1821342106

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20247997$20,247$7,831$4,885
2023131189$42,880$15,578$12,129

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more21$55$24
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more15$80$46

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Surgical Physician Assistant363AS0400X✓15336MN
Surgical Physician Assistant363AS0400XPA61359713WA
Physician Assistant363A00000X0110004235VA
Surgical Physician Assistant363AS0400X029464NY
Surgical Physician Assistant363AS0400X25MP00742200NJ
Physician Assistant363A00000X10004010AIN
Physician Assistant363A00000X50.007882RXOH
Surgical Physician Assistant363AS0400X085.010935IL

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Other Surgical Physician Assistant providers in Minnesota

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.