Doctor profile · Federal record

Dr. Kyana Wallace, PA-C

Physician Assistant · New York, NY

  • NPI 1558611483
  • Accepts Medicare
  • 7 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
75 Broad St
New York, NY 100042415
(877) 456-0369
Mailing address
20 Coolidge Pl
Freeport, NY 115202543

Credentials & registration

NPPES · NUCC
NPI registered
September 2012 — 14 yrs on file
Profile last updated
September 20, 2012
Year of graduation
2019 — 7 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
New York #051928-1

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1558611483. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
224
Distinct HCPCS
4
Medicare allowed
$21,716
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 137 128 $89
99203 New patient office or other outpatient visit, 30-44 minutes 58 58 $112
99442 Telephone medical discussion with physician, 11-20 minutes 18 18 $90
99214 Established patient office or other outpatient visit, 30-39 minutes 11 11 $126

In context: peer comparison

Among 206 peers in New York Physician Assistant, average services per provider: 65. This provider delivers 3.4× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
214
Patients
207
Total drug cost
$3,336
Drug Type Claims Patients Total cost
Paxlovid (Eua) (Nirmatrelvir/Ritonavir) Brand 40 40 $427
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 36 36 $436
Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) Brand 27 22 $370
Prednisone Generic 26 25 $52
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 20 19 $531
Lagevrio (Eua) (Molnupiravir) Brand 16 16 $156
Azithromycin Generic 13 13 $122
Ipratropium Bromide Generic 13 13 $419
Oseltamivir Phosphate Generic 12 12 $500
Cephalexin Generic 11 11 $323

Frequently asked questions

Auto-generated from federal data
What is Dr. Kyana Wallace's medical specialty?
Dr. Kyana Wallace practices Physician Assistant in New York, NY.
Where does Dr. Kyana Wallace practice?
Dr. Kyana Wallace practices at 75 Broad St, New York, NY 100042415. Office phone: 8774560369.
What is Dr. Kyana Wallace's NPI?
Dr. Kyana Wallace's National Provider Identifier (NPI) is 1558611483, issued by NPPES.
Does Dr. Kyana Wallace accept Medicare assignment?
Yes. Dr. Kyana Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kyana Wallace commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203); Telephone medical discussion with physician (HCPCS 99442). Source: CMS Medicare Physician & Other Practitioners file.