Michael Dwayne Wall, PA, ATC, PTA, CEAS
NPI 1386794717ActiveIndividual· Physician Assistant· Powell, TN
Physician Assistant (PA, ATC, PTA, CEAS) with Champion Physical Therapy LLC Halls, practicing in Powell, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $144,313 for 1,410 claims, against $8,194 paid for services in 2024. Novo Nordisk Inc was the largest of 3 companies reporting payments in 2025, $181.70 in all, mostly food and beverage. Lists Blount Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1386794717 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA, ATC, PTA, CEAS |
| Sole proprietor | No |
| NPI issued | Jan 10, 2007 |
| Last updated in NPPES | Jun 14, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PENDING | TN |
| Physical Therapy Assistant | 225200000X | 3396 | TN |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 110102223 | 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 - Physician Assistant (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 31 |
|---|---|
| Services billed | 237 across 18 procedure codes |
| Paid by Medicare | $8,194 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,410 · 2,477 30-day fills |
|---|---|
| Patients | 81 |
| Total drug cost | $144,313 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Champion Physical Therapy LLC HallsJohnson City, TN · 281 clinicians
Hospital affiliations
- Blount Memorial HospitalMaryville, TN
- Sweetwater Hospital AssociationSweetwater, TN
Industry payments (Open Payments)
- 2025$181.70 · 9 payments from 3 companies
- 2024$135.20 · 7 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $85.63 | 4 |
| Abbvie Inc. | $58.44 | 3 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $37.63 | 2 |
What the 2025 payments were for
- Food and Beverage$181.70 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Powell
- 1053010256
- 1619635596
- 1689370504
- 1689814899
- 1700475498
- 1821561689
- 1831959022
- 1851662498
- 1902128812
- 1912405879
- 1003514894
- 1124877535
All 21 physician assistants in Powell · All physician assistants in Tennessee