Philip C. Wallace, MD
NPI 1629258322ActiveIndividual· Physical Medicine & Rehabilitation· Bend, OR
Physical Medicine & Rehabilitation (MD) in Bend, Oregon, trained at Meharry Medical College School of Medicine (class of 2005). 520 Medicare patients in 2024, $151,753 paid; nearly all of their 197 Part D prescriptions were generic (98%). Abbott Laboratories reported $25.05 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1629258322 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Nov 9, 2007 |
| Last updated in NPPES | May 10, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | MD152056 | OR |
| Physical Medicine & Rehabilitation | 208100000X | P1432 | TX |
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 - Sports Medicine (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 520 |
|---|---|
| Services billed | 2,210 across 41 procedure codes |
| Paid by Medicare | $151,753 |
Part D prescriptions in 2024
| Prescriptions (claims) | 197 · 222 30-day fills |
|---|---|
| Patients | 52 |
| Total drug cost | $2,743 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | Meharry Medical College School of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Sports Medicine |
Medical group
- Central Oregon Spine and Sports LLCBend, OR · 3 clinicians
Hospital affiliation
- St Charles Medical Center PrinevillePrineville, OR
Industry payments (Open Payments)
- 2025$25.05 · 1 payment from 1 company
- 2024$172.08 · 4 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $25.05 | 1 |
What the 2025 payments were for
- Food and Beverage$25.05 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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