Doctor profile · Federal record
Dr. Micah Wallace, PA-C
Surgical Physician Assistant (CMS: Physician Assistant) · Latrobe, PA
- NPI 1588946214
- Accepts Medicare
- 16 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
100 Excela Health Dr Ste 102
Latrobe, PA 156509001
(724) 804-1760
fax (724) 804-1762 - Mailing address
-
520 Jefferson Ave, Suite 400
Jeannette, PA 156442538
Credentials & registration
- NPI registered
- September 2011 — 15 yrs on file
- Profile last updated
- December 21, 2018
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Pennsylvania #MA054581
- Medicaid
- PA #103167119
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1588946214. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
197
Distinct HCPCS
2
Medicare allowed
$11,391
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 108 | 82 | $74 | |
69210 |
Removal of impacted ear wax | 89 | 66 | $39 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 98. This provider delivers 2.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
134
Patients
98
Total drug cost
$4,462
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ofloxacin | Generic | 34 | 30 | $942 |
| Oxycodone Hcl | Generic | 25 | 23 | $97 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 21 | 21 | $48 |
| Ipratropium Bromide | Generic | 17 | 0 | $411 |
| Cephalexin | Generic | 13 | 13 | $198 |
| Neomycin-Polymyxin-Hc (Neomycin/Polymyxin B/Hydrocort) | Brand | 13 | 11 | $1,035 |
| Ciprofloxacin-Dexamethasone (Ciprofloxacin Hcl/Dexameth) | Brand | 11 | 0 | $1,732 |
Frequently asked questions
What is Dr. Micah Wallace's medical specialty?
Dr. Micah Wallace practices Surgical Physician Assistant in Latrobe, PA.
Where does Dr. Micah Wallace practice?
Dr. Micah Wallace practices at 100 Excela Health Dr Ste 102, Latrobe, PA 156509001. Office phone: 7248041760.
What is Dr. Micah Wallace's NPI?
Dr. Micah Wallace's National Provider Identifier (NPI) is 1588946214, issued by NPPES.
Does Dr. Micah Wallace accept Medicare assignment?
Yes. Dr. Micah Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Micah Wallace commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Removal of impacted ear wax (HCPCS 69210). Source: CMS Medicare Physician & Other Practitioners file.