Marc A. Wallace, DO
NPI 1841299146ActiveIndividual· Radiology, Diagnostic Radiology· Johnstown, PA
Radiology, Diagnostic Radiology (DO) in Johnstown, Pennsylvania, trained at Lake Erie College of Osteopathic Medicine, Erie (class of 1999). Medicare paid $5,448 for services to 132 patients in 2024.
Overview
| NPI | 1841299146 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | Yes |
| NPI issued | Jul 19, 2005 |
| Last updated in NPPES | Sep 5, 2025 |
| Certified by provider | Sep 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | OS00848L | PA |
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 - Diagnostic Radiology (NY); Practitioner - Diagnostic Radiology (PA); Practitioner - Diagnostic Radiology (SC); Practitioner - Diagnostic Radiology (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 132 |
|---|---|
| Services billed | 244 across 35 procedure codes |
| Paid by Medicare | $5,448 |
Education and affiliations
| Medical school | Lake Erie College of Osteopathic Medicine, Erie |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Musc Community PhysiciansCentennial, CO · 1,544 clinicians
- Carolina Radiology Associates LLCMyrtle Beach, SC · 64 clinicians
Hospital affiliations
- McLeod Health CherawCheraw, SC
- McLeod Health ClarendonManning, SC
- McLeod Medical Center - DillonDillon, SC
- McLeod Regional Medical Center-Pee DeeFlorence, SC
- Musc Health Florence Medical CenterFlorence, SC
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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All 16 diagnostic radiologists in Johnstown · All diagnostic radiologists in Pennsylvania