Doctor profile · Federal record

Dr. Kacie Wallace, M.S., PA-C

Physician Assistant · Detroit, MI

  • NPI 1750871455
  • 8 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
22101 Moross RD
Detroit, MI 482362148
(313) 343-4000
Mailing address
226 Wimpole Dr
Rochester Hills, MI 483092148

Credentials & registration

NPPES · NUCC
NPI registered
May 2018 — 8 yrs on file
Profile last updated
September 15, 2019
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Michigan #1151843

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1750871455. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
96
Distinct HCPCS
6
Medicare allowed
$12,572
HCPCS Description Services Patients Avg allowed
99285 Emergency department visit with high level of medical decision making 22 22 $155
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 17 17 $153
99239 Hospital discharge day management, more than 30 minutes 15 15 $101
99284 Emergency department visit with moderate level of medical decision making 15 14 $106
99291 Critical care, first 30-74 minutes 14 14 $187
99283 Emergency department visit with low level of medical decision making 13 12 $64

In context: peer comparison

Among 61 peers in Detroit Physician Assistant, average services per provider: 51. This provider delivers 1.9× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Kacie Wallace's medical specialty?
Dr. Kacie Wallace practices Physician Assistant in Detroit, MI.
Where does Dr. Kacie Wallace practice?
Dr. Kacie Wallace practices at 22101 Moross RD, Detroit, MI 482362148. Office phone: 3133434000.
What is Dr. Kacie Wallace's NPI?
Dr. Kacie Wallace's National Provider Identifier (NPI) is 1750871455, issued by NPPES.
What procedures does Dr. Kacie Wallace commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Initial hospital care with moderate level of medical decision making (HCPCS 99223); Hospital discharge day management (HCPCS 99239). Source: CMS Medicare Physician & Other Practitioners file.