Jerold W. Wallis, MD
NPI 1225122567ActiveIndividual· Nuclear Medicine· Saint Louis, MO
Nuclear Medicine (MD) in Saint Louis, Missouri, trained at Stanford University School of Medicine (class of 1981). Medicare paid $22,089 for services to 383 patients in 2024.
Overview
| NPI | 1225122567 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 3, 2006 |
| Last updated in NPPES | Apr 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nuclear Medicine Primary | 207U00000X | R9F90 | MO |
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 - Nuclear Medicine (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 383 |
|---|---|
| Services billed | 396 across 26 procedure codes |
| Paid by Medicare | $22,089 |
Education and affiliations
| Medical school | Stanford University School of Medicine |
|---|---|
| Graduation year | 1981 |
| Medicare specialty | Nuclear Medicine |
Medical groups
- Washington UniversitySaint Louis, MO · 3,029 clinicians
- Miracl LLCRolla, MO · 98 clinicians
Hospital affiliations
- Barnes Jewish HospitalSaint Louis, MO
- Barnes-Jewish West County HospitalCreve Coeur, MO
- Missouri Baptist Medical CenterSaint Louis, 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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