Kellie Wallace-Wilding, MD
NPI 1063518629 · Family Medicine Physician · Jackson, TN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kellie Wallace-Wilding, MD is a Family Medicine Physician provider in Jackson, TN (NPI 1063518629).
Provider details
- NPI number
- 1063518629
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 41583 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
8,386 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 770 | $8 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 732 | $10 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 638 | $120 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 637 | $13 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 508 | $7 |
| Hemoglobin A1c Level83036 | 397 | $9 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 205 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 898 | 240 |
| Levothyroxine Sodium | 677 | 182 |
| Omeprazole | 563 | 159 |
| Losartan Potassium | 481 | 138 |
| Amlodipine Besylate | 377 | 115 |
| Meloxicam | 354 | 125 |
| Potassium Chloride | 334 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$45 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2012-11-29
Frequently asked questions
- What is Kellie Wallace-Wilding's NPI number?
- Kellie Wallace-Wilding's National Provider Identifier (NPI) is 1063518629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellie Wallace-Wilding's specialty?
- Kellie Wallace-Wilding is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kellie Wallace-Wilding located?
- Kellie Wallace-Wilding's practice location on file with NPPES is 2863 Highway 45 Byp, Jackson, TN 38305-3618.
- What is Kellie Wallace-Wilding's phone number?
- The practice phone number listed in the NPPES registry for Kellie Wallace-Wilding is (731) 664-1375.
- Does Kellie Wallace-Wilding accept Medicare?
- Kellie Wallace-Wilding is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kellie Wallace-Wilding's NPI active?
- Yes — Kellie Wallace-Wilding's NPI (1063518629) is active in the NPPES registry as of the last update on 2012-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.