Jared Lee Wallace, PA-C
NPI 1063746667ActiveIndividual· Physician Assistant· Kenai, AK
Physician Assistant (PA-C) with Odyssey Family Practice, practicing in Kenai, Alaska. Their prescriptions cost Medicare Part D more than their services did: $681,418 for 4,067 claims, against $106,665 paid for services in 2024. Medtronic, Inc. was the largest of 15 companies reporting payments in 2025, $3,085 in all, mostly travel and lodging. Lists Central Peninsula General Hospital as a hospital affiliation.
Overview
| NPI | 1063746667 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 29, 2009 |
| Last updated in NPPES | Mar 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 264 |
|---|---|
| Services billed | 2,651 across 73 procedure codes |
| Paid by Medicare | $106,665 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,067 · 7,086 30-day fills |
|---|---|
| Patients | 236 |
| Total drug cost | $681,418 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Odyssey Family PracticeKenai, AK · 5 clinicians
Hospital affiliation
- Central Peninsula General HospitalSoldotna, AK
Other facilities
- Kenai Peninsula Home Health, LLCHome health agency · Soldotna, AK
Industry payments (Open Payments)
- 2025$3,085 · 50 payments from 15 companies
- 2024$1,205 · 60 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $2,169 | 12 |
| Abbvie Inc. | $255.29 | 10 |
| Astrazeneca Pharmaceuticals LP | $153.12 | 8 |
| Lilly USA, LLC | $127.34 | 3 |
| Novo Nordisk Inc | $78.85 | 4 |
What the 2025 payments were for
- Travel and Lodging$1,942 · 7 payments
- Food and Beverage$1,143 · 43 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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