Doctor profile · Federal record
Dr. Miata Wallace, PA
Physician Assistant · Lincoln, NE
- NPI 1013656990
- Accepts Medicare
- MIPS 92.4 / 100 · 2023
- 4 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1500 S 58Th St Ste 800
Lincoln, NE 685061407
(402) 483-8600
fax (402) 483-8689
Credentials & registration
- NPI registered
- May 2022 — 4 yrs on file
- Profile last updated
- March 25, 2025
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Nebraska #2760
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013656990. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
390
Distinct HCPCS
3
Medicare allowed
$38,439
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 345 | 286 | $100 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 32 | 32 | $71 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 13 | 13 | $134 |
In context: peer comparison
Among 85 peers in Lincoln Physician Assistant, average services per provider: 133. This provider delivers 2.9× the peer median.Open Payments
Industry payments received
All-time total
$230
Transactions
13
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Astellas Pharma US INC | 3 | $50.01 | |
| AstraZeneca Pharmaceuticals Lp | 2 | $35.59 | |
| Harmony Biosciences LLC | 1 | $33.47 | |
| Amgen INC. | 1 | $20.62 | |
| Genzyme Corporation | 1 | $18.23 | |
| Grifols USA, LLC | 1 | $14.80 | |
| GlaxoSmithKline, LLC. | 1 | $14.78 | |
| United Therapeutics Corporation | 1 | $14.66 | |
| Inspire Medical Systems, INC. | 1 | $14.07 | |
| Actelion Pharmaceuticals US, INC. | 1 | $14.03 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,127
Patients
415
Total drug cost
$383,967
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 188 | 44 | $148,678 |
| Prednisone | Generic | 137 | 89 | $696 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 133 | 71 | $4,207 |
| Azithromycin | Generic | 117 | 32 | $2,321 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 81 | 21 | $45,089 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 79 | 31 | $43,950 |
| Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) | Brand | 76 | 24 | $37,085 |
| Breztri Aerosphere (Budesonide/Glycopyr/Formoterol) | Brand | 53 | 17 | $37,071 |
| Montelukast Sodium | Generic | 52 | 18 | $690 |
| Ventolin Hfa (Albuterol Sulfate) | Brand | 50 | 27 | $3,327 |
Hospital affiliations
Frequently asked questions
What is Dr. Miata Wallace's medical specialty?
Dr. Miata Wallace practices Physician Assistant in Lincoln, NE.
Where does Dr. Miata Wallace practice?
Dr. Miata Wallace practices at 1500 S 58Th St Ste 800, Lincoln, NE 685061407. Office phone: 4024838600.
What is Dr. Miata Wallace's NPI?
Dr. Miata Wallace's National Provider Identifier (NPI) is 1013656990, issued by NPPES.
Does Dr. Miata Wallace accept Medicare assignment?
Yes. Dr. Miata Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Miata Wallace 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); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.