WILLIAM WALLACE, PA

Surgical Physician Assistant · COOKEVILLE, TN

Individual Active NPI 1992183412

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20242898,707$457,790$61,953$44,311
20232521,143$480,643$47,574$34,887
2022130344$205,356$21,670$16,878

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
J1010Injection, methylprednisolone acetate, 1 mg7,000$0$0
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more128$70$44
20610Aspiration and/or injection of fluid from large joint89$52$38
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more76$130$85
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more63$100$74
73130X-ray of hand, minimum of 3 views63$28$18
73560X-ray of knee, 1-2 views56$25$20
73502X-ray of hip, 2-3 views34$33$25
73030X-ray of shoulder, minimum of 2 views33$24$16
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more29$85$56
73100X-ray of wrist, 2 views29$26$17
J1040Injection, methylprednisolone acetate, 80 mg22$10$5

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Surgical Physician Assistant363AS0400XPA2743TN
Medical Physician Assistant363AM0700X2743TN

Medicare participation

Enrolled in Medicare

CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.

Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.

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

Other Surgical Physician Assistant providers in Tennessee

See all Surgical Physician Assistant providers in Tennessee

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