John Thomas Wallace
NPI 1376030825ActiveIndividual· Radiology, Diagnostic Radiology· Temple, TX
Radiology, Diagnostic Radiology in Temple, Texas, trained at Eastern Virginia Medical School (class of 2018). Medicare paid $57,060 for services to 1,072 patients in 2024. Straumann USA LLC reported $63.98 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1376030825 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 19, 2018 |
| Last updated in NPPES | Sep 23, 2024 |
| Certified by provider | Sep 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | V3136 | TX |
| Internal Medicine | 207R00000X | MED-RES-LIC-67472 | MT |
| Radiology, Diagnostic Radiology | 2085R0202X | 69345 | AZ |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 - Diagnostic Radiology (AZ); Practitioner - Diagnostic Radiology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,072 |
|---|---|
| Services billed | 4,107 across 115 procedure codes |
| Paid by Medicare | $57,060 |
Education and affiliations
| Medical school | Eastern Virginia Medical School |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Diagnostic Radiology |
Medical group
- Scott and White ClinicCollege Station, TX · 2,461 clinicians
Hospital affiliations
- Baylor Scott & White Medical Center - Marble FallsMarble Falls, TX
- Baylor Scott & White Medical Center - Round RockRound Rock, TX
- Baylor Scott & White Medical Center - TempleTemple, TX
- Baylor Scott & White Medical Center PflugervillePflugerville, TX
- Baylor Scott & White Medical Center- College StatiCollege Station, TX
Industry payments (Open Payments)
- 2025$63.98 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Straumann USA LLC | $63.98 | 1 |
What the 2025 payments were for
- Food and Beverage$63.98 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 71 diagnostic radiologists in Temple · All diagnostic radiologists in Texas