Jeffrey W. Wallace, PA-C
NPI 1649479171ActiveIndividual· Physician Assistant· Wentzville, MO
Physician Assistant (PA-C) with Ssm Medical Group Inc, practicing in Wentzville, Missouri. 180 Medicare patients in 2024, $12,772 paid; nearly all of their 74 Part D prescriptions were generic (97%). Elite Orthopedics, LLC was the largest of 2 companies reporting payments in 2025, $64.06 in all, mostly food and beverage. Lists Ssm St Joseph Health Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1649479171 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 14, 2007 |
| Last updated in NPPES | Jul 24, 2025 |
| Certified by provider | Jul 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2005024101 | MO |
| Physician Assistant, Medical | 363AM0700X | 2005024101 | MO |
| Physician Assistant, Surgical | 363AS0400X | 2005024101 | MO |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 180 |
|---|---|
| Services billed | 590 across 53 procedure codes |
| Paid by Medicare | $12,772 |
Part D prescriptions in 2024
| Prescriptions (claims) | 74 · 80 30-day fills |
|---|---|
| Patients | 45 |
| Total drug cost | $1,547 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Ssm Medical Group IncSaint Charles, MO · 568 clinicians
Hospital affiliations
- Ssm St Joseph Health CenterSaint Charles, MO
- Ssm St Joseph Hospital WestLake Saint Louis, MO
Other facilities
- Ssm Health Rehabilitation HospitalInpatient rehabilitation facility · Richmond Heights, MO
Industry payments (Open Payments)
- 2025$64.06 · 3 payments from 2 companies
- 2024$45.61 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Elite Orthopedics, LLC | $36.55 | 2 |
| Organogenesis Inc. | $27.51 | 1 |
What the 2025 payments were for
- Food and Beverage$64.06 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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