Marty Dale Wallace, CRNA
NPI 1164674743ActiveIndividual· Nurse Anesthetist, Certified Registered· Johnson City, TN
Nurse Anesthetist, Certified Registered (CRNA) with Huntsville Hospital Anesthesia, practicing in Johnson City, Tennessee. Medicare paid $15,069 for services to 94 patients in 2024. Karl Storz Endoscopy-America was the largest of 3 companies reporting payments in 2025, $76.41 in all, mostly food and beverage. Lists Huntsville Hospital as a hospital affiliation.
Overview
| NPI | 1164674743 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Oct 15, 2008 |
| Last updated in NPPES | Nov 20, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | APN13700 | TN |
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 - Certified Registered Nurse Anesthetist (CRNA) (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 94 |
|---|---|
| Services billed | 101 across 17 procedure codes |
| Paid by Medicare | $15,069 |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Huntsville Hospital AnesthesiaHuntsville, AL · 159 clinicians
Hospital affiliation
- Huntsville HospitalHuntsville, AL
Industry payments (Open Payments)
- 2025$76.41 · 3 payments from 3 companies
- 2024$31.53 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Karl Storz Endoscopy-America | $35.12 | 1 |
| Haemonetics Corporation | $25.41 | 1 |
| Merck Sharp & Dohme LLC | $15.88 | 1 |
What the 2025 payments were for
- Food and Beverage$76.41 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 88 nurse anesthetists in Johnson City · All nurse anesthetists in Tennessee