Doctor profile · Federal record
Dr. Jerald Wallace, M.D.
Surgery Physician (CMS: General Surgery) · Lexington, KY
- NPI 1730591017
- Accepts Medicare
- MIPS 79.3 / 100 · 2023
- 12 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
800 Rose St, C246
Lexington, KY 405360293
(859) 323-6162
Credentials & registration
- NPI registered
- May 2014 — 12 yrs on file
- Profile last updated
- July 7, 2016
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Kentucky #49437
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1730591017. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
284
Distinct HCPCS
9
Medicare allowed
$39,471
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
11042 |
Removal of skin and tissue, 20.0 sq cm or less | 42 | 20 | $54 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 42 | 22 | $76 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 39 | 38 | $166 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $157 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 32 | 25 | $117 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 32 | 17 | $114 | |
11043 |
Removal of muscle and/or tissue, 20.0 sq cm or less | 29 | 18 | $141 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 16 | 14 | $85 | |
47562 |
Removal of gallbladder using an endoscope | 14 | 14 | $621 |
In context: peer comparison
Among 16 peers in Lexington Surgery Physician, average services per provider: 38. This provider delivers 7.5× the peer median.Open Payments
Industry payments received
All-time total
$1,310
Transactions
8
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Intuitive Surgical, INC. | 3 | $1,104.99 | |
| Davol INC. | 3 | $156.77 | |
| Smith+Nephew, INC. | 2 | $48.18 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
227
Patients
144
Total drug cost
$179,107
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 103 | 82 | $413 |
| Cyclobenzaprine Hcl | Generic | 24 | 16 | $130 |
| Dalvance (Dalbavancin Hcl) | Brand | 24 | 0 | $177,821 |
| Ondansetron Odt (Ondansetron) | Brand | 23 | 18 | $445 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 21 | 17 | $225 |
| Dextrose in Water (Dextrose 5 % in Water) | Brand | 19 | 0 | $29 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 13 | 11 | $44 |
Hospital affiliations
Frequently asked questions
What is Dr. Jerald Wallace's medical specialty?
Dr. Jerald Wallace practices Surgery Physician in Lexington, KY.
Where does Dr. Jerald Wallace practice?
Dr. Jerald Wallace practices at 800 Rose St, Lexington, KY 405360293. Office phone: 8593236162.
What is Dr. Jerald Wallace's NPI?
Dr. Jerald Wallace's National Provider Identifier (NPI) is 1730591017, issued by NPPES.
Does Dr. Jerald Wallace accept Medicare assignment?
Yes. Dr. Jerald Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jerald Wallace commonly perform?
Top Medicare-reported procedures in 2023: Removal of skin and tissue, 20.0 sq cm or less (HCPCS 11042); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.