Doctor profile · Federal record
Dr. Donetta Wallace, P.A.-C
Physician Assistant · Medical Physician Assistant · Paintsville, KY
- NPI 1417958828
- Accepts Medicare
- MIPS 82.4 / 100 · 2023
- 27 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
336 N Mayo Trl
Paintsville, KY 412401804
(606) 789-8666
fax (606) 788-0253 - Mailing address
-
Po Box 2379
Ashland, KY 411052379
Credentials & registration
- NPI registered
- August 2005 — 21 yrs on file
- Profile last updated
- February 1, 2022
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Kentucky #PA544
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1417958828. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,583
Distinct HCPCS
10
Medicare allowed
$74,704
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 634 | 144 | $88 | |
36415 |
Insertion of needle into vein for collection of blood sample | 285 | 126 | $8 | |
J1100 |
Injection, dexamethasone sodium phosphate, 1 mg | 196 | 26 | $0 | |
96372 |
Injection of drug or substance under skin or into muscle | 111 | 49 | $11 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 89 | 64 | $61 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 88 | 88 | $102 | |
J0696 |
Injection, ceftriaxone sodium, per 250 mg | 56 | 12 | $1 | |
J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 48 | 22 | $2 | |
J1885 |
Injection, ketorolac tromethamine, per 15 mg | 46 | 13 | $1 | |
G0008 |
Administration of influenza virus vaccine | 30 | 29 | $28 |
In context: peer comparison
Among 2 peers in Paintsville Physician Assistant, average services per provider: 141. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$1,628
Transactions
87
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk INC | 17 | $236.91 | |
| GlaxoSmithKline, LLC. | 11 | $187.70 | |
| AstraZeneca Pharmaceuticals Lp | 7 | $161.96 | |
| Pfizer INC. | 17 | $158.74 | |
| Abbvie INC. | 5 | $143.97 | |
| Exact Sciences Corporation | 9 | $132.96 | |
| Shield Therapeutics INC | 1 | $87.06 | |
| Bayer Healthcare Pharmaceuticals INC. | 4 | $68.46 | |
| Amgen INC. | 4 | $58.87 | |
| Boston Scientific Corporation | 1 | $58.20 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 3 | $47.39 | |
| Takeda Pharmaceuticals U.S.A., INC. | 2 | $34.18 | |
| Ardelyx, INC. | 2 | $32.34 | |
| Abbott Laboratories | 2 | $31.03 | |
| Lilly USA, LLC | 2 | $29.43 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
4,092
Patients
1,188
Total drug cost
$66,457
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 504 | 139 | $9,261 |
| Atorvastatin Calcium | Generic | 363 | 104 | $5,810 |
| Pantoprazole Sodium | Generic | 318 | 93 | $5,494 |
| Lisinopril | Generic | 306 | 93 | $3,022 |
| Metoprolol Succinate | Generic | 303 | 80 | $4,656 |
| Amlodipine Besylate | Generic | 285 | 84 | $2,925 |
| Omeprazole | Generic | 268 | 81 | $4,844 |
| Rosuvastatin Calcium | Generic | 262 | 90 | $6,624 |
| Furosemide | Generic | 245 | 74 | $1,230 |
| Gabapentin | Generic | 238 | 43 | $1,940 |
Hospital affiliations
Frequently asked questions
What is Dr. Donetta Wallace's medical specialty?
Dr. Donetta Wallace practices Physician Assistant in Paintsville, KY.
Where does Dr. Donetta Wallace practice?
Dr. Donetta Wallace practices at 336 N Mayo Trl, Paintsville, KY 412401804. Office phone: 6067898666.
What is Dr. Donetta Wallace's NPI?
Dr. Donetta Wallace's National Provider Identifier (NPI) is 1417958828, issued by NPPES.
Does Dr. Donetta Wallace accept Medicare assignment?
Yes. Dr. Donetta Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Donetta Wallace commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Injection, dexamethasone sodium phosphate, 1 mg (HCPCS J1100). Source: CMS Medicare Physician & Other Practitioners file.