Doctor profile · Federal record
Dr. Wallace Johnson, MD
Internal Medicine Physician (CMS: Internal Medicine) · Fairport, NY
- NPI 1902833619
- Accepts Medicare
- MIPS 73.3 / 100 · 2023
- 33 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
800 Ayrault RD Ste 200
Fairport, NY 144508941
(585) 602-2300
fax (585) 425-2750
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- July 3, 2023
- Year of graduation
- 1993 — 33 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- New York #200706
- Medicaid
- NY #01688146
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902833619. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
251
Distinct HCPCS
4
Medicare allowed
$20,175
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 83 | 52 | $65 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 80 | 48 | $95 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 55 | 55 | $126 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 33 | 31 | $8 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 62. This provider delivers 4.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
3,015
Patients
962
Total drug cost
$154,970
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 566 | 199 | $9,971 |
| Levothyroxine Sodium | Generic | 363 | 101 | $8,326 |
| Losartan Potassium | Generic | 276 | 85 | $4,415 |
| Amlodipine Besylate | Generic | 227 | 71 | $2,030 |
| Omeprazole | Generic | 223 | 81 | $3,929 |
| Metoprolol Succinate | Generic | 199 | 67 | $4,528 |
| Hydrochlorothiazide | Generic | 166 | 60 | $1,292 |
| Lisinopril | Generic | 162 | 57 | $1,855 |
| Gabapentin | Generic | 141 | 43 | $3,445 |
| Simvastatin | Generic | 138 | 43 | $1,773 |
Hospital affiliations
Frequently asked questions
What is Dr. Wallace Johnson's medical specialty?
Dr. Wallace Johnson practices Internal Medicine Physician in Fairport, NY.
Where does Dr. Wallace Johnson practice?
Dr. Wallace Johnson practices at 800 Ayrault RD Ste 200, Fairport, NY 144508941. Office phone: 5856022300.
What is Dr. Wallace Johnson's NPI?
Dr. Wallace Johnson's National Provider Identifier (NPI) is 1902833619, issued by NPPES.
Does Dr. Wallace Johnson accept Medicare assignment?
Yes. Dr. Wallace Johnson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Wallace Johnson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.