Adam N. Wallace, MD
NPI 1801117585ActiveIndividual· Radiology, Neuroradiology· Rockford, IL
Radiology, Neuroradiology (MD) in Rockford, Illinois, trained at University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) (class of 2010). Mostly services rather than prescriptions: Medicare paid $21,830 for 202 patients in 2024, with only 22 Part D claims. Penumbra, Inc. was the largest of 4 companies reporting payments in 2025, $2,135 in all, mostly speaking and faculty fees.
Overview
| NPI | 1801117585 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 17, 2010 |
| Last updated in NPPES | Apr 22, 2026 |
| Certified by provider | Apr 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Neuroradiology Primary | 2085N0700X | 036.148822 | IL |
| Psychiatry & Neurology, Neurology | 2084N0400X | 036.148822 | IL |
| Radiology, Diagnostic Radiology | 2085R0202X | 319983 | NY |
| Radiology, Neuroradiology | 2085N0700X | 70505-20 | WI |
| Radiology, Diagnostic Radiology | 2085R0202X | DR.0068906 | CO |
| Radiology, Neuroradiology | 2085N0700X | 61898 | MN |
| Radiology, Diagnostic Radiology | 2085R0202X | 036.148822 | IL |
| Psychiatry & Neurology, Neurology | 2084N0400X | 70505-20 | WI |
| Radiology, Diagnostic Radiology | 2085R0202X | 70505-20 | WI |
| Radiology, Diagnostic Radiology | 2085R0202X | 2015013114 | MO |
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 - Diagnostic Radiology (AZ); Practitioner - Diagnostic Radiology (IL); Practitioner - Diagnostic Radiology (NY); Practitioner - Diagnostic Radiology (TX); Practitioner - Diagnostic Radiology (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 202 |
|---|---|
| Services billed | 758 across 58 procedure codes |
| Paid by Medicare | $21,830 |
Part D prescriptions in 2024
| Prescriptions (claims) | 22 · 53 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $3,883 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) |
|---|---|
| Graduation year | 2010 |
| Medicare specialty | Diagnostic Radiology |
| Telehealth | Offers telehealth |
Medical groups
- Sonoran Radiology LtdTyler, TX · 475 clinicians
- Columbia St Marys Hospital Milwaukee IncMilwaukee, WI · 306 clinicians
- Eagle Partners, PLLCHouston, TX · 171 clinicians
- Banner Imaging Services LLCCasa Grande, AZ · 122 clinicians
- Premier Radiology Wisconsin LLCMount Pleasant, WI · 106 clinicians
- Associated Valley Radiologists, LtdGoodyear, AZ · 55 clinicians
Hospital affiliations
- Ascension All Saints HospitalRacine, WI
- Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI
- Ascension Se Wisconsin HospitalMilwaukee, WI
- Ascension St Francis HospitalMilwaukee, WI
Industry payments (Open Payments)
- 2025$2,135 · 11 payments from 4 companies
- 2024$156.97 · 5 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Penumbra, Inc. | $2,064 | 8 |
| Abbott Laboratories | $27.70 | 1 |
| Medtronic, Inc. | $22.28 | 1 |
| Depuy Synthes Sales Inc. | $21.24 | 1 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$1,600 · 1 payment
- Food and Beverage$535.45 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Radiology, Neuroradiology providers in Rockford
- 1003802265