Wallace Duncan, M.D.
NPI 1821153529ActiveIndividual· Internal Medicine· Lithonia, GA
Internal Medicine (M.D.) in Lithonia, Georgia, trained at Morehouse School of Medicine (class of 1992). Their prescriptions cost Medicare Part D more than their services did: $790,245 for 10,066 claims, against $29,318 paid for services in 2024.
Overview
| NPI | 1821153529 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Dec 25, 2006 |
| Last updated in NPPES | Oct 17, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 041109 | GA |
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 - Internal Medicine (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 87 |
|---|---|
| Services billed | 535 across 21 procedure codes |
| Paid by Medicare | $29,318 |
Part D prescriptions in 2024
| Prescriptions (claims) | 10,066 · 21,346 30-day fills |
|---|---|
| Patients | 555 |
| Total drug cost | $790,245 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | Morehouse School of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Internal Medicine |
Medical group
- Privia Medical Group of Georgia LLCFayetteville, GA · 462 clinicians
Hospital affiliation
- Emory Hillandale HospitalLithonia, GA
Other facilities
- Central Home Health Care, An Amedisys CompanyHome health agency · Tucker, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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