Doctor profile · Federal record
Dr. William Wallace, PA
Surgical Physician Assistant (CMS: Physician Assistant) · Medical Physician Assistant · Cookeville, TN
- NPI 1992183412
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 12 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
105 S Willow Ave
Cookeville, TN 385014667
(931) 372-7716
fax (931) 372-0087 - Additional location
-
150 Sam Walton Dr, #600
Sparta, TN 385838815
(931) 739-4000 - Additional location
-
203 N Cedar Ave
Cookeville, TN 38501
(931) 528-1992
fax (931) 526-4381 - Mailing address
-
203 N Cedar Ave
Cookeville, TN 385012498
Credentials & registration
- NPI registered
- May 2015 — 11 yrs on file
- Profile last updated
- August 27, 2020
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State licenses (2)
- Tennessee #PA2743 · Tennessee #2743
- Medicaid
- TN #Q015216
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1992183412. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
521
Distinct HCPCS
10
Medicare allowed
$29,295
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 102 | 83 | $70 | |
J1040 |
Injection, methylprednisolone acetate, 80 mg | 78 | 56 | $11 | |
20610 |
Aspiration and/or injection of fluid from large joint | 69 | 54 | $53 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 64 | 64 | $131 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 49 | 49 | $99 | |
73100 |
X-ray of wrist, 2 views | 34 | 24 | $25 | |
73130 |
X-ray of hand, minimum of 3 views | 33 | 27 | $29 | |
73502 |
X-ray of hip, 2-3 views | 32 | 26 | $33 | |
73560 |
X-ray of knee, 1-2 views | 32 | 29 | $26 | |
73030 |
X-ray of shoulder, minimum of 2 views | 28 | 24 | $25 |
In context: peer comparison
Among 2 peers in Cookeville Surgical Physician Assistant, average services per provider: 49. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$89
Transactions
5
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Smith+Nephew, INC. | 2 | $37.89 | |
| Endo USA, INC. | 2 | $33.80 | |
| Boston Scientific Corporation | 1 | $16.94 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
475
Patients
326
Total drug cost
$4,832
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Meloxicam | Generic | 128 | 73 | $449 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 104 | 75 | $1,151 |
| Ibuprofen | Generic | 76 | 50 | $561 |
| Methylprednisolone | Generic | 64 | 58 | $653 |
| Diclofenac Sodium | Generic | 60 | 43 | $1,794 |
| Tramadol Hcl | Generic | 29 | 27 | $76 |
| Celecoxib | Generic | 14 | 0 | $148 |
Frequently asked questions
What is Dr. William Wallace's medical specialty?
Dr. William Wallace practices Surgical Physician Assistant in Cookeville, TN.
Where does Dr. William Wallace practice?
Dr. William Wallace practices at 105 S Willow Ave, Cookeville, TN 385014667. Office phone: 9313727716.
What is Dr. William Wallace's NPI?
Dr. William Wallace's National Provider Identifier (NPI) is 1992183412, issued by NPPES.
Does Dr. William Wallace accept Medicare assignment?
Yes. Dr. William Wallace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. William Wallace commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Injection, methylprednisolone acetate, 80 mg (HCPCS J1040); Aspiration and/or injection of fluid from large joint (HCPCS 20610). Source: CMS Medicare Physician & Other Practitioners file.