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Philly Marie Wall, P.A.

NPI 1497894117ActiveIndividual· Physician Assistant· Cedar Rapids, IA

Physician Assistant (P.A.) with Iowa Physicians Clinic Medical Foundation, practicing in Cedar Rapids, Iowa. Their prescriptions cost Medicare Part D more than their services did: $507,464 for 6,885 claims, against $94,624 paid for services in 2024. Lists Mercy Medical Center - Cedar Rapids and 1 other hospital as hospital affiliations.

Overview

NPI1497894117
StatusActive
Entity typeIndividual
CredentialP.A.
Sole proprietorNo
NPI issuedFeb 6, 2007
Last updated in NPPESJun 23, 2026
Certified by providerJun 23, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X001778IA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (IA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients235
Services billed2,053 across 48 procedure codes
Paid by Medicare$94,624

Part D prescriptions in 2024

Prescriptions (claims)6,885 · 15,901 30-day fills
Patients452
Total drug cost$507,464
Generic share89% of claims

Medicare sources and data years

Education and affiliations

Graduation year2006
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliations

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other physician assistants in Cedar Rapids

All 63 physician assistants in Cedar Rapids · All physician assistants in Iowa