Doctor profile · Federal record
Dr. John Wallace, M.D.
Family Medicine Physician (CMS: Family Practice) · Kosciusko, MS
- NPI 1831486596
- Accepts Medicare
- 15 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
332 Highway 12 W
Kosciusko, MS 390903209
(662) 289-1800
fax (662) 289-2486 - Mailing address
-
Po Box 23996
Jackson, MS 392253996
Credentials & registration
- NPI registered
- July 2011 — 15 yrs on file
- Profile last updated
- September 22, 2014
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Mississippi #22522
- Medicaid
- MS #07830815
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1831486596. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
15,815
Distinct HCPCS
10
Medicare allowed
$428,877
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J0897 |
Injection, denosumab, 1 mg | 3,720 | 41 | $23 | |
Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,402 | 23 | $0 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 1,142 | 456 | $115 | |
36415 |
Insertion of needle into vein for collection of blood sample | 780 | 392 | $8 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 606 | 380 | $8 | |
80048 |
Blood test, basic group of blood chemicals (calcium, total) | 524 | 356 | $8 | |
80061 |
Blood test, lipids (cholesterol and triglycerides) | 420 | 334 | $13 | |
84443 |
Blood test, thyroid stimulating hormone (tsh) | 414 | 314 | $16 | |
84450 |
Liver enzyme (sgot), level | 353 | 289 | $5 | |
84460 |
Liver enzyme (sgpt), level | 352 | 288 | $5 |
In context: peer comparison
Among 8 peers in this city , average services per provider: 215. This provider delivers 74× the peer median.Open Payments
Industry payments received
All-time total
$1,412
Transactions
87
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 10 | $314.92 | |
| ABBVIE INC. | 19 | $230.53 | |
| Novo Nordisk Inc | 10 | $190.04 | |
| GlaxoSmithKline, LLC. | 18 | $169.12 | |
| Novartis Pharmaceuticals Corporation | 13 | $152.47 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 6 | $128.18 | |
| Merck Sharp & Dohme LLC | 2 | $42.78 | |
| Lilly USA, LLC | 2 | $33.46 | |
| Medtronic, Inc. | 1 | $21.89 | |
| Bayer Healthcare Pharmaceuticals Inc. | 1 | $19.49 | |
| Abbott Laboratories | 1 | $18.66 | |
| Amgen Inc. | 1 | $17.83 | |
| SANOFI PASTEUR INC. | 1 | $16.40 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 1 | $14.64 | |
| Inari Medical, Inc. | 1 | $14.21 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
6,040
Patients
1,356
Total drug cost
$245,901
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amlodipine Besylate | Generic | 750 | 166 | $6,040 |
| Levothyroxine Sodium | Generic | 581 | 112 | $6,699 |
| Atorvastatin Calcium | Generic | 533 | 113 | $6,707 |
| Gabapentin | Generic | 464 | 103 | $7,589 |
| Metformin Hcl | Generic | 415 | 93 | $2,565 |
| Meloxicam | Generic | 405 | 99 | $5,261 |
| Omeprazole | Generic | 381 | 96 | $5,151 |
| Pantoprazole Sodium | Generic | 381 | 98 | $6,163 |
| Furosemide | Generic | 371 | 95 | $3,219 |
| Potassium Chloride | Generic | 346 | 61 | $20,288 |
Frequently asked questions
What is Dr. John Wallace's medical specialty?
Dr. John Wallace practices Family Medicine Physician in Kosciusko, MS.
Where does Dr. John Wallace practice?
Dr. John Wallace practices at 332 Highway 12 W, Kosciusko, MS 390903209. Office phone: 6622891800.
What is Dr. John Wallace's NPI?
Dr. John Wallace's National Provider Identifier (NPI) is 1831486596, issued by NPPES.
Does Dr. John Wallace accept Medicare assignment?
Yes. Dr. John Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. John Wallace commonly perform?
Top Medicare-reported procedures in 2023: Injection, denosumab, 1 mg (HCPCS J0897); Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS Q9967); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.