William Wallace Jr., MD
NPI 1487185054ActiveIndividual· Surgery· Macon, GA
Surgery (MD) in Macon, Georgia, trained at University of Oklahoma College of Medicine (class of 2017). 250 Medicare patients in 2024, $35,903 paid; nearly all of their 81 Part D prescriptions were generic (91%). Penumbra, Inc. was the largest of 9 companies reporting payments in 2025, $2,271 in all, mostly travel and lodging.
Overview
| NPI | 1487185054 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Mar 24, 2017 |
| Last updated in NPPES | Jan 30, 2023 |
| Certified by provider | Jan 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 86402 | GA |
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 - General Surgery (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 250 |
|---|---|
| Services billed | 403 across 64 procedure codes |
| Paid by Medicare | $35,903 |
Part D prescriptions in 2024
| Prescriptions (claims) | 81 · 89 30-day fills |
|---|---|
| Patients | 37 |
| Total drug cost | $1,684 |
| Generic share | 91% of claims |
Education and affiliations
| Medical school | University of Oklahoma College of Medicine |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | General Surgery |
Medical group
- Health Services of Central GeorgiaMacon, GA · 300 clinicians
Hospital affiliations
- Atrium Health Navicent PeachByron, GA
- Atrium Health Navicent the Medical CenterMacon, GA
- Emory Houston Hospital Warner RobinsWarner Robins, GA
- Fairview Park HospitalDublin, GA
- Navicent Health BaldwinMilledgeville, GA
Industry payments (Open Payments)
- 2025$2,271 · 22 payments from 9 companies
- 2024$375.30 · 12 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Penumbra, Inc. | $1,589 | 9 |
| Integra Lifesciences Corporation | $181.75 | 2 |
| Depuy Synthes Sales Inc. | $146.75 | 4 |
| Solventum Corporation | $138.80 | 2 |
| Tela Bio, Inc. | $64.18 | 1 |
What the 2025 payments were for
- Travel and Lodging$1,314 · 6 payments
- Food and Beverage$956.59 · 16 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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