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Tracy Wallace, MD

NPI 1720306558ActiveIndividual· Pediatrics· Gonzales, LA

Pediatrics (MD) in Gonzales, Louisiana, licensed in LA, with an NPI issued in May 2010. Enrolled in Medicare as practitioner - pediatric medicine. Collegium Pharmaceutical, Inc. was the largest of 13 companies reporting payments in 2025, $531.26 in all, mostly food and beverage.

Overview

NPI1720306558
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedMay 4, 2010
Last updated in NPPESMay 19, 2021
Certified by providerMay 19, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000X204717LA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Pediatric Medicine (LA)

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$531.26 · 30 payments from 13 companies
  • 2024$485.97 · 27 payments from 12 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$531.26 · 30 payments

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

Other Pediatrics providers in Gonzales

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