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Lacie Victoria Wallace, MD

NPI 1366018012ActiveIndividual· Family Medicine· Mt Pleasant, SC

Family Medicine (MD) in Mt Pleasant, South Carolina, trained at Brody School of Medicine at East Carolina University (class of 2021). Their prescriptions cost Medicare Part D more than their services did: $106,220 for 695 claims, against $3,591 paid for services in 2024. Novo Nordisk Inc was the largest of 28 companies reporting payments in 2025, $2,307 in all, mostly food and beverage.

Overview

NPI1366018012
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedJun 2, 2021
Last updated in NPPESSep 11, 2024
Certified by providerSep 11, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X86050SC
Family Medicine207Q00000XLL86050SC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Family Practice (SC)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients17
Services billed56 across 16 procedure codes
Paid by Medicare$3,591

Part D prescriptions in 2024

Prescriptions (claims)695 · 1,665 30-day fills
Patients99
Total drug cost$106,220
Generic share86% of claims

Medicare sources and data years

Education and affiliations

Medical schoolBrody School of Medicine at East Carolina University
Graduation year2021
Medicare specialtyFamily Practice
TelehealthOffers telehealth

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$2,307 · 115 payments from 28 companies
  • 2024$410.25 · 20 payments from 15 companies

Top paying companies in 2025

CompanyAmountPayments
Novo Nordisk Inc$281.2014
Abbvie Inc.$245.5316
Pfizer Inc.$244.4414
Axsome Therapeutics, Inc.$191.709
Astellas Pharma US Inc$153.887

What the 2025 payments were for

  • Food and Beverage$2,307 · 115 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Family Medicine providers in Mt Pleasant

All Family Medicine providers in South Carolina →