William Jacob Wallace, PA
NPI 1992183412ActiveIndividual· Physician Assistant, Surgical· Cookeville, TN
Physician Assistant, Surgical (PA) with Campbell Clinic, PC, practicing in Cookeville, Tennessee. 289 Medicare patients in 2024, $44,311 paid; all of their 480 Part D prescriptions were generic. Pacira Pharmaceuticals Incorporated was the largest of 6 companies reporting payments in 2025, $191.77 in all, mostly food and beverage. Lists Cookeville Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1992183412 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | May 16, 2015 |
| Last updated in NPPES | Aug 27, 2020 |
| Certified by provider | Aug 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA2743 | TN |
| Physician Assistant, Medical | 363AM0700X | 2743 | TN |
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 - Physician Assistant (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 289 |
|---|---|
| Services billed | 8,707 across 75 procedure codes |
| Paid by Medicare | $44,311 |
Part D prescriptions in 2024
| Prescriptions (claims) | 480 · 535 30-day fills |
|---|---|
| Patients | 245 |
| Total drug cost | $2,761 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Campbell Clinic, PCBristol, TN · 239 clinicians
Hospital affiliation
- Cookeville Regional Medical CenterCookeville, TN
Industry payments (Open Payments)
- 2025$191.77 · 8 payments from 6 companies
- 2024$88.63 · 5 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Pacira Pharmaceuticals Incorporated | $65.77 | 2 |
| Boston Scientific Corporation | $47.56 | 2 |
| Smith+nephew, Inc. | $26.37 | 1 |
| Ossur Americas, Inc. | $19.59 | 1 |
| Vertex Pharmaceuticals Incorporated | $18.26 | 1 |
What the 2025 payments were for
- Food and Beverage$191.77 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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