Kristina Marie Wallace, PA-C
NPI 1417326984ActiveIndividual· Physician Assistant· Grants Pass, OR
Physician Assistant (PA-C) with Peacehealth Medical Group, practicing in Grants Pass, Oregon. 52 Medicare patients in 2024, $4,860 paid; nearly all of their 129 Part D prescriptions were generic (96%). Medtronic, Inc. reported $22.14 in payments in 2024, mostly food and beverage. Lists Sacred Heart Medical Center - Riverbend as a hospital affiliation.
Overview
| NPI | 1417326984 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 15, 2015 |
| Last updated in NPPES | Jun 8, 2020 |
| Certified by provider | Jun 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA174747 | OR |
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 (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 61 across 36 procedure codes |
| Paid by Medicare | $4,860 |
Part D prescriptions in 2024
| Prescriptions (claims) | 129 · 139 30-day fills |
|---|---|
| Patients | 56 |
| Total drug cost | $4,371 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Peacehealth Medical GroupEugene, OR · 255 clinicians
Hospital affiliation
- Sacred Heart Medical Center - RiverbendSpringfield, OR
Industry payments (Open Payments)
- 2024$22.14 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $22.14 | 1 |
What the 2024 payments were for
- Food and Beverage$22.14 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 43 physician assistants in Grants Pass · All physician assistants in Oregon