Matthew Seymour Wallace, DDS
NPI 1861706145ActiveIndividual· Dentist· Rome, NY
Dentist (DDS) in Rome, New York, licensed in NY, with an NPI issued in July 2010. Part D covered 78 prescriptions written in 2024, 99% of them generic.
Overview
| NPI | 1861706145 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jul 29, 2010 |
| Last updated in NPPES | Aug 8, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 055556 | NY |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 Order and Referring Only - Oral Surgery (NY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 78 · 78 30-day fills |
|---|---|
| Patients | 50 |
| Total drug cost | $187.88 |
| Generic share | 99% of claims |
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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