Adam Bryan Wallace, MD
NPI 1700317898ActiveIndividual· Plastic Surgery· Stanford, CA
Plastic Surgery (MD) in Stanford, California, trained at Jefferson Medical College of Thomas Jefferson University (class of 2017). Enrolled in Medicare as practitioner - plastic and reconstructive surgery. Ethicon US, LLC was the largest of 2 companies reporting payments in 2024, $69.17 in all, mostly food and beverage.
Overview
| NPI | 1700317898 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 21, 2017 |
| Last updated in NPPES | Aug 3, 2025 |
| Certified by provider | Aug 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | A161405 | CA |
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 - Plastic and Reconstructive Surgery (CA) |
|---|
Education and affiliations
| Medical school | Jefferson Medical College of Thomas Jefferson University |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Plastic And Reconstructive Surgery |
Medical group
- Permanente Medical Group IncOakland, CA · 10,996 clinicians
Industry payments (Open Payments)
- 2024$69.17 · 2 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ethicon US, LLC | $45.00 | 1 |
| Integra Lifesciences Corporation | $24.17 | 1 |
What the 2024 payments were for
- Food and Beverage$69.17 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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