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Wallace E. Johnson, MD

NPI 1902833619ActiveIndividual· Internal Medicine· Fairport, NY

Internal Medicine (MD) in Fairport, New York, trained at State University of New York at Buffalo School of Medicine (class of 1993). Their prescriptions cost Medicare Part D more than their services did: $696,032 for 8,017 claims, against $24,166 paid for services in 2024.

Overview

NPI1902833619
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedJun 27, 2006
Last updated in NPPESJul 3, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine Primary207R00000X200706NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Internal Medicine (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients109
Services billed455 across 20 procedure codes
Paid by Medicare$24,166

Part D prescriptions in 2024

Prescriptions (claims)8,017 · 19,389 30-day fills
Patients818
Total drug cost$696,032
Generic share90% of claims

Medicare sources and data years

Education and affiliations

Medical schoolState University of New York at Buffalo School of Medicine
Graduation year1993
Medicare specialtyInternal Medicine
TelehealthOffers telehealth

Medical group

Hospital affiliations

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other internal medicine physicians in Fairport

All 17 internal medicine physicians in Fairport · All internal medicine physicians in New York