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

NPPES Updated May 11, 2026
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

NPPES · NUCC
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

OIG LEIE Updated May 11, 2026

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

CMS Provider Utilization
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 Oshkosh Family Medicine Physician, average services per provider: 59. This provider delivers 10× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
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

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Timothy Wallace's medical specialty?
Dr. Timothy Wallace practices Family Medicine Physician in Oshkosh, WI.
Where does Dr. Timothy Wallace practice?
Dr. Timothy Wallace practices at 855 N Westhaven Dr, Oshkosh, WI 549047668. Office phone: 9203038700.
What is Dr. Timothy Wallace's NPI?
Dr. Timothy Wallace's National Provider Identifier (NPI) is 1275725384, issued by NPPES.
Does Dr. Timothy Wallace accept Medicare assignment?
Dr. Timothy Wallace does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Timothy Wallace commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.