Mikaila Wallace, DO
NPI 1023687217ActiveIndividual· Family Medicine· Maryville, MO
Family Medicine (DO) in Maryville, Missouri, trained at At Still University of Health Sciences, College of Osteo Med, Kirksville (class of 2024). Part D covered 1,436 prescriptions written in 2024, 88% of them generic.
Overview
| NPI | 1023687217 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Jun 22, 2021 |
| Last updated in NPPES | May 12, 2025 |
| Certified by provider | May 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 2024030678 | MO |
| Family Medicine | 207Q00000X | TEP9082 | 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 - Family Practice (MO) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 1,436 · 2,434 30-day fills |
|---|---|
| Patients | 137 |
| Total drug cost | $108,013 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | At Still University of Health Sciences, College of Osteo Med, Kirksville |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Family Practice |
Medical groups
- Ssm Regional Health ServicesJefferson City, MO · 166 clinicians
- Mosaic Medical Center - MaryvilleMaryville, MO · 77 clinicians
Hospital affiliations
- Mosaic Life Care at St JosephSaint Joseph, MO
- Mosaic Medical Center - MaryvilleMaryville, MO
- Mosaic Medical Center AlbanyAlbany, MO
Other facilities
- Mosaic Life Care Home HealthHome health agency · Saint Joseph, MO
- Mosaic Life Care HospiceHospice · Saint Joseph, MO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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