Brendan Wallace, MD
NPI 1164159257ActiveIndividual· Urology· Bangor, ME
Urology (MD) in Bangor, Maine, licensed in ME, with an NPI issued in August 2022. 223 Medicare patients in 2024, $40,900 paid; nearly all of their 775 Part D prescriptions were generic (91%). Calyxo, Inc. reported $144.82 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1164159257 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Aug 8, 2022 |
| Last updated in NPPES | Aug 8, 2022 |
| Certified by provider | Aug 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | MD25666 | ME |
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 - Urology (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 223 |
|---|---|
| Services billed | 439 across 46 procedure codes |
| Paid by Medicare | $40,900 |
Part D prescriptions in 2024
| Prescriptions (claims) | 775 · 1,403 30-day fills |
|---|---|
| Patients | 261 |
| Total drug cost | $59,394 |
| Generic share | 91% of claims |
Industry payments (Open Payments)
- 2025$144.82 · 1 payment from 1 company
- 2024$17.06 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Calyxo, Inc. | $144.82 | 1 |
What the 2025 payments were for
- Food and Beverage$144.82 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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