Miata Wallace, PA
NPI 1013656990ActiveIndividual· Physician Assistant· Lincoln, NE
Physician Assistant (PA) with Nebraska Pulmonary Specialties LLC, practicing in Lincoln, Nebraska. Their prescriptions cost Medicare Part D more than their services did: $616,858 for 1,517 claims, against $11,851 paid for services in 2024. Avadel Cns Pharmaceuticals, LLC was the largest of 14 companies reporting payments in 2025, $621.54 in all, mostly food and beverage. Lists Bryan Medical Center as a hospital affiliation.
Overview
| NPI | 1013656990 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | May 31, 2022 |
| Last updated in NPPES | Mar 25, 2025 |
| Certified by provider | Mar 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2760 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 155 |
|---|---|
| Services billed | 181 across 12 procedure codes |
| Paid by Medicare | $11,851 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,517 · 1,890 30-day fills |
|---|---|
| Patients | 350 |
| Total drug cost | $616,858 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Nebraska Pulmonary Specialties LLCLincoln, NE · 29 clinicians
Hospital affiliation
- Bryan Medical CenterLincoln, NE
Industry payments (Open Payments)
- 2025$621.54 · 22 payments from 14 companies
- 2024$330.25 · 14 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Avadel Cns Pharmaceuticals, LLC | $237.13 | 4 |
| Grifols USA, LLC | $135.56 | 6 |
| Baxter Healthcare | $40.60 | 1 |
| Abiomed | $38.29 | 1 |
| United Therapeutics Corporation | $21.28 | 1 |
What the 2025 payments were for
- Food and Beverage$421.54 · 21 payments
- Consulting Fee$200.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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