Doctor profile · Federal record
Dr. TIMOTHY WALLACE, D.O.
Family Medicine Physician (CMS: FAMILY PRACTICE) · Family Medicine Physician · Family Medicine Physician · OSHKOSH, WI
- NPI 1275725384
- 22 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
855 N WESTHAVEN DR
OSHKOSH, WI 549047668
(920) 303-8700
fax (920) 303-8832 - Mailing address
-
PO BOX 735044
CHICAGO, IL 606735044
Credentials & registration
- NPI registered
- August 2007 — 19 yrs on file
- Profile last updated
- April 9, 2025
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (3)
- Wisconsin #60032 · Pennsylvania #OS013436 · South Carolina #1195
- Medicaid (2)
- WI #100028993 · SC #011953
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1275725384. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
605
Distinct HCPCS
9
Medicare allowed
$59,727
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 203 | 116 | $113 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 132 | 97 | $80 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 124 | 124 | $115 | |
G0008 |
Administration of influenza virus vaccine | 51 | 51 | $29 | |
90662 |
Influenza vaccine split virus, preservative free | 44 | 44 | $72 | |
90677 |
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | 13 | $282 | |
99496 |
Transitional care management services for problem of high complexity | 13 | 12 | $253 | |
G0009 |
Administration of pneumococcal vaccine | 13 | 13 | $29 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 12 | 12 | $13 |
In context: peer comparison
Among 17 peers in this city , average services per provider: 59. This provider delivers 10× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
3,160
Patients
843
Total drug cost
$39,538
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 558 | 159 | $7,371 |
| Lisinopril | Generic | 368 | 98 | $3,092 |
| Amlodipine Besylate | Generic | 338 | 91 | $2,390 |
| Losartan Potassium | Generic | 262 | 67 | $3,830 |
| Omeprazole | Generic | 204 | 59 | $3,715 |
| Metformin Hcl Er (Metformin Hcl) | Brand | 180 | 48 | $2,522 |
| Metoprolol Succinate | Generic | 176 | 46 | $3,672 |
| Levothyroxine Sodium | Generic | 174 | 41 | $3,171 |
| Simvastatin | Generic | 168 | 39 | $1,677 |
| Hydrochlorothiazide | Generic | 140 | 35 | $658 |