Doctor profile · Federal record
Dr. Maegen Wallace, M.D.
Orthopaedic Surgery Physician (CMS: Orthopedic Surgery) · Pediatric Orthopaedic Surgery Physician · Student in an Organized Health Care Education/Training Program · Phoenix, AZ
- NPI 1235393836
- Accepts Medicare
- 22 yrs in practice
- Licensed in 3 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1919 E Thomas RD
Phoenix, AZ 850167710
(602) 933-1000 - Additional location
-
Emile 42Nd St
Omaha, NE 681980001
(402) 955-8125
fax (402) 955-8140 - Mailing address
-
2108 E Thomas RD Ste 130
Phoenix, AZ 850160008
Credentials & registration
- NPI registered
- July 2008 — 18 yrs on file
- Profile last updated
- June 30, 2023
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 207X00000X — NUCC code
- State licenses (3)
- Arizona #69950 · Nebraska #28403 · Missouri #2008018502
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1235393836. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$211
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Stryker Corporation | 1 | $108.43 | |
| Zimvie INC. | 1 | $102.40 |
By nature of payment
Frequently asked questions
What is Dr. Maegen Wallace's medical specialty?
Dr. Maegen Wallace practices Orthopaedic Surgery Physician in Phoenix, AZ.
Where does Dr. Maegen Wallace practice?
Dr. Maegen Wallace practices at 1919 E Thomas RD, Phoenix, AZ 850167710. Office phone: 6029331000.
What is Dr. Maegen Wallace's NPI?
Dr. Maegen Wallace's National Provider Identifier (NPI) is 1235393836, issued by NPPES.
Does Dr. Maegen Wallace accept Medicare assignment?
Yes. Dr. Maegen Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.