Doctor profile · Federal record
Dr. Philip Wallace, MD
Physical Medicine & Rehabilitation Physician (CMS: Sports Medicine) · Physical Medicine & Rehabilitation Physician · Bend, OR
- NPI 1629258322
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 21 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2115 Ne Wyatt CT., 101
Bend, OR 977016324
(541) 323-6280
fax (541) 323-6288 - Mailing address
-
2115 Ne Wyatt CT, Suite 101
Bend, OR 977017678
Credentials & registration
- NPI registered
- November 2007 — 19 yrs on file
- Profile last updated
- May 10, 2017
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 208100000X — NUCC code
- State licenses (2)
- Oregon #MD152056 · Texas #P1432
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629258322. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,876
Distinct HCPCS
10
Medicare allowed
$192,847
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
64483 |
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 284 | 241 | $134 | |
64493 |
Injection of lower or sacral spine facet joint using imaging guidance, single level | 225 | 139 | $119 | |
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 182 | 35 | $1 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 145 | 105 | $86 | |
64635 |
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 136 | 97 | $225 | |
64490 |
Injection of upper or middle spine facet joint using imaging guidance, single level | 135 | 86 | $132 | |
64494 |
Injection of lower or sacral spine facet joint using imaging guidance, second level | 125 | 78 | $66 | |
64636 |
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 99 | 65 | $65 | |
64484 |
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 74 | 64 | $57 | |
27096 |
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 70 | 57 | $97 |
In context: peer comparison
Among 3 peers in Bend Physical Medicine & Rehabilitation Physician, average services per provider: 72. This provider delivers 26× the peer median.Open Payments
Industry payments received
All-time total
$172
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Vertos Medical, INC. | 2 | $107.58 | |
| Abbott Laboratories | 2 | $64.50 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
56
Patients
0
Total drug cost
$420
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Meloxicam | Generic | 21 | 0 | $85 |
| Tramadol Hcl | Generic | 20 | 0 | $180 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 15 | 0 | $155 |
Frequently asked questions
What is Dr. Philip Wallace's medical specialty?
Dr. Philip Wallace practices Physical Medicine & Rehabilitation Physician in Bend, OR.
Where does Dr. Philip Wallace practice?
Dr. Philip Wallace practices at 2115 Ne Wyatt CT., Bend, OR 977016324. Office phone: 5413236280.
What is Dr. Philip Wallace's NPI?
Dr. Philip Wallace's National Provider Identifier (NPI) is 1629258322, issued by NPPES.
Does Dr. Philip Wallace accept Medicare assignment?
Yes. Dr. Philip Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Philip Wallace commonly perform?
Top Medicare-reported procedures in 2023: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS 64483); Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS 64493); Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301). Source: CMS Medicare Physician & Other Practitioners file.