Doctor profile · Federal record

Dr. Jared Wallace, PA-C

Physician Assistant · Kenai, AK

  • NPI 1063746667
  • Accepts Medicare
  • 17 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
43783 Kenai Spur Hwy
Kenai, AK 99611
(907) 283-9116
fax (907) 283-9122

Credentials & registration

NPPES · NUCC
NPI registered
September 2009 — 17 yrs on file
Profile last updated
March 7, 2023
Year of graduation
2009 — 17 yrs since
Specialty taxonomy
363A00000X — NUCC code
Medicaid
AK #1020379

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1063746667. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,065
Distinct HCPCS
10
Medicare allowed
$80,668
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 312 107 $138
99213 Established patient office or other outpatient visit, 20-29 minutes 242 145 $96
36415 Insertion of needle into vein for collection of blood sample 145 106 $8
83036 Hemoglobin a1c level 59 40 $10
81003 Automated urinalysis test 52 50 $2
96372 Injection of drug or substance under skin or into muscle 37 13 $15
80305 Testing for presence of drug, read by direct observation 33 15 $12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 32 32 $139
82570 Creatinine level to test for kidney function or muscle injury 26 26 $5
82044 Urine microalbumin (protein) analysis 25 25 $6

In context: peer comparison

Among 3 peers in this city , average services per provider: 82. This provider delivers 13× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$1,205
Transactions
49
Manufacturers
14
Payer (manufacturer) Industry Txns Amount
AstraZeneca Pharmaceuticals LP 9 $236.34
ABBVIE INC. 12 $234.93
Amgen Inc. 3 $168.76
Lilly USA, LLC 4 $85.25
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) 3 $83.45
Averitas Pharma Inc. 2 $62.93
Xeris Pharmaceuticals, Inc. 3 $62.12
Novo Nordisk Inc 3 $59.99
Indivior Inc. 2 $52.67
Teva Pharmaceuticals USA, Inc. 2 $48.29
GlaxoSmithKline, LLC. 2 $38.98
PFIZER INC. 2 $36.39
Exact Sciences Corporation 1 $20.38
E.R. Squibb & Sons, L.L.C. 1 $14.52

By nature of payment

Food and Beverage
$1,205

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
904
Patients
171
Total drug cost
$147,124
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 130 38 $1,986
Furosemide Generic 82 17 $259
Amlodipine Besylate Generic 81 18 $485
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 63 16 $1,257
Gabapentin Generic 61 14 $1,495
Levothyroxine Sodium Generic 57 15 $883
Lisinopril Generic 57 15 $356
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 57 0 $1,639
Omeprazole Generic 54 11 $833
Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) Brand 52 14 $62,209

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Jared Wallace's medical specialty?
Dr. Jared Wallace practices Physician Assistant in Kenai, AK.
Where does Dr. Jared Wallace practice?
Dr. Jared Wallace practices at 43783 Kenai Spur Hwy, Kenai, AK 99611. Office phone: 9072839116.
What is Dr. Jared Wallace's NPI?
Dr. Jared Wallace's National Provider Identifier (NPI) is 1063746667, issued by NPPES.
Does Dr. Jared Wallace accept Medicare assignment?
Yes. Dr. Jared Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jared Wallace commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.