Doctor profile · Federal record
Dr. Jim Wallace, PT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Orthopedic Physical Therapist · Bend, OR
- NPI 1194928481
- Accepts Medicare
- MIPS 8.0 / 100 · 2023
- 45 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
404 Ne Penn Ave
Bend, OR 977014264
(541) 318-7041
fax (541) 388-3711 - Mailing address
-
16693 Gray Wolf Ln
Bend, OR 977072548
Credentials & registration
- NPI registered
- June 2007 — 19 yrs on file
- Profile last updated
- December 29, 2016
- Year of graduation
- 1981 — 45 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State licenses (2)
- Oregon #02948 · Oregon #2948
- Medicaid
- OR #500694596
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194928481. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,462
Distinct HCPCS
5
Medicare allowed
$39,670
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97530 |
Therapy procedure using functional activities | 563 | 71 | $30 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 306 | 36 | $25 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 287 | 56 | $21 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 269 | 42 | $22 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 37 | 36 | $96 |
In context: peer comparison
Among 57 peers in this city , average services per provider: 297. This provider delivers 4.9× the peer median.Frequently asked questions
What is Dr. Jim Wallace's medical specialty?
Dr. Jim Wallace practices Physical Therapist in Bend, OR.
Where does Dr. Jim Wallace practice?
Dr. Jim Wallace practices at 404 Ne Penn Ave, Bend, OR 977014264. Office phone: 5413187041.
What is Dr. Jim Wallace's NPI?
Dr. Jim Wallace's National Provider Identifier (NPI) is 1194928481, issued by NPPES.
Does Dr. Jim Wallace accept Medicare assignment?
Yes. Dr. Jim Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jim Wallace commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using manual technique (HCPCS 97140). Source: CMS Medicare Physician & Other Practitioners file.