Doctor profile · Federal record

Dr. Philly Wall, P.A.

Physician Assistant · Cedar Rapids, IA

  • NPI 1497894117
  • Accepts Medicare
  • 20 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
830 4Th Ave Se Ste 1
Cedar Rapids, IA 524032445
(402) 650-6765

Credentials & registration

NPPES · NUCC
NPI registered
February 2007 — 19 yrs on file
Profile last updated
November 18, 2021
Year of graduation
2006 — 20 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Iowa #001778
Medicaid
IA #0188946

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1497894117. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,092
Distinct HCPCS
10
Medicare allowed
$80,816
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 271 167 $101
99213 Established patient office or other outpatient visit, 20-29 minutes 191 120 $70
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 174 61 $49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 144 144 $101
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 78 31 $38
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 44 22 $38
G0008 Administration of influenza virus vaccine 36 36 $29
90662 Influenza vaccine split virus, preservative free 34 34 $72
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 33 33 $14
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing 21 19 $6

In context: peer comparison

Among 13 peers in this city , average services per provider: 86. This provider delivers 13× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
2,525
Patients
754
Total drug cost
$34,234
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 504 152 $5,502
Levothyroxine Sodium Generic 246 69 $3,477
Omeprazole Generic 230 67 $2,608
Lisinopril Generic 228 70 $1,728
Amlodipine Besylate Generic 183 58 $1,528
Pantoprazole Sodium Generic 173 53 $2,278
Metformin Hcl Generic 147 39 $1,035
Metoprolol Succinate Generic 132 37 $2,118
Furosemide Generic 115 33 $729
Losartan Potassium Generic 109 37 $942

Frequently asked questions

Auto-generated from federal data
What is Dr. Philly Wall's medical specialty?
Dr. Philly Wall practices Physician Assistant in Cedar Rapids, IA.
Where does Dr. Philly Wall practice?
Dr. Philly Wall practices at 830 4Th Ave Se Ste 1, Cedar Rapids, IA 524032445. Office phone: 4026506765.
What is Dr. Philly Wall's NPI?
Dr. Philly Wall's National Provider Identifier (NPI) is 1497894117, issued by NPPES.
Does Dr. Philly Wall accept Medicare assignment?
Yes. Dr. Philly Wall accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Philly Wall 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); Chronic care management services (HCPCS 99490). Source: CMS Medicare Physician & Other Practitioners file.