Wallace Clements Tarry, MD
NPI 1205804945ActiveIndividual· Surgery, Vascular Surgery· Mooresville, NC
Surgery, Vascular Surgery (MD) in Mooresville, North Carolina, trained at Duke University School of Medicine (class of 1989). In 2024 Medicare paid $157,894 for 473 patients, and Part D covered 289 of their prescriptions, 87% of them generic. Penumbra, Inc. was the largest of 4 companies reporting payments in 2025, $1,911 in all, mostly travel and lodging.
Overview
| NPI | 1205804945 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 9, 2006 |
| Last updated in NPPES | Jul 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | 200200613 | NC |
| Surgery | 208600000X | 200200613 | NC |
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 - Vascular Surgery (GA); Practitioner - Vascular Surgery (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 473 |
|---|---|
| Services billed | 988 across 70 procedure codes |
| Paid by Medicare | $157,894 |
Part D prescriptions in 2024
| Prescriptions (claims) | 289 · 604 30-day fills |
|---|---|
| Patients | 115 |
| Total drug cost | $31,336 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | Duke University School of Medicine |
|---|---|
| Graduation year | 1989 |
| Medicare specialty | Vascular Surgery |
| Secondary specialties | Thoracic Surgery |
| Telehealth | Offers telehealth |
Medical groups
- Carolinas Physicians Network IncCharlotte, NC · 2,325 clinicians
- Health Services of Central GeorgiaMacon, GA · 300 clinicians
Hospital affiliations
- Atrium Health Navicent the Medical CenterMacon, GA
- Atrium Health University CityCharlotte, NC
- Carolinas Medical Center-NortheastConcord, NC
- Duke Health Lake Norman HospitalMooresville, NC
Industry payments (Open Payments)
- 2025$1,911 · 11 payments from 4 companies
- 2024$311.61 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Penumbra, Inc. | $1,476 | 8 |
| Humacyte Global, Inc. | $195.68 | 1 |
| W. L. Gore & Associates, Inc. | $130.17 | 1 |
| Medtronic, Inc. | $109.63 | 1 |
What the 2025 payments were for
- Travel and Lodging$1,164 · 2 payments
- Food and Beverage$747.20 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery, Vascular Surgery providers in Mooresville
- 1750671723
- 1619464559