Colleen Elizabeth Wallace, PA-C
NPI 1568187904ActiveIndividual· Physician Assistant· Longmont, CO
Physician Assistant (PA-C) with Spine West A Professional LLC, practicing in Longmont, Colorado. Their prescriptions cost Medicare Part D more than their services did: $145,226 for 348 claims, against $81,310 paid for services in 2024. Abbvie Inc. was the largest of 23 companies reporting payments in 2025, $1,316 in all, mostly food and beverage. Lists Boulder Community Health as a hospital affiliation.
Overview
| NPI | 1568187904 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Oct 7, 2022 |
| Last updated in NPPES | Sep 27, 2023 |
| Certified by provider | Sep 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA.0007479 | CO |
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 (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 28 |
|---|---|
| Services billed | 6,641 across 22 procedure codes |
| Paid by Medicare | $81,310 |
Part D prescriptions in 2024
| Prescriptions (claims) | 348 · 456 30-day fills |
|---|---|
| Patients | 29 |
| Total drug cost | $145,226 |
| Generic share | 62% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Spine West A Professional LLCBoulder, CO · 9 clinicians
Hospital affiliation
- Boulder Community HealthBoulder, CO
Industry payments (Open Payments)
- 2025$1,316 · 58 payments from 23 companies
- 2024$538.89 · 35 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $370.35 | 22 |
| Tg Therapeutics, Inc. | $258.93 | 7 |
| Lundbeck LLC | $111.35 | 5 |
| Genentech USA, Inc. | $49.10 | 2 |
| Emd Serono, Inc. | $41.77 | 2 |
What the 2025 payments were for
- Food and Beverage$1,316 · 58 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 92 physician assistants in Longmont · All physician assistants in Colorado