Jared Wallace, PA-C
NPI 1063746667 · Physician Assistant · Kenai, AK
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jared Wallace, PA-C is a Physician Assistant provider in Kenai, AK (NPI 1063746667).
Provider details
- NPI number
- 1063746667
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,872 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 434 | $134 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 270 | $94 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 202 | $9 |
| Hemoglobin A1c Level83036 | 106 | $10 |
| Annual Alcohol Misuse Screening, 5 to 15 MinutesG0442 | 71 | $19 |
| Office Or Other Outpatient Visit for the Evaluation and Management of Established Patient That May Not Require Presence of Healthcare Professional99211 | 66 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 101 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 182 | 53 |
| Levothyroxine Sodium | 120 | 28 |
| Amlodipine Besylate | 103 | 27 |
| Pantoprazole Sodium | 85 | 16 |
| Omeprazole | 78 | 19 |
| Furosemide | 76 | 16 |
| Metformin Hcl | 72 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,205 across 49 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
- 2009-09-29
- Last updated
- 2023-03-07
Frequently asked questions
- What is Jared Wallace's NPI number?
- Jared Wallace's National Provider Identifier (NPI) is 1063746667, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jared Wallace's specialty?
- Jared Wallace is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jared Wallace located?
- Jared Wallace's practice location on file with NPPES is 43783 Kenai Spur Hwy, Kenai, AK 99611.
- What is Jared Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jared Wallace is (907) 283-9116.
- Does Jared Wallace accept Medicare?
- Jared Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jared Wallace's NPI active?
- Yes — Jared Wallace's NPI (1063746667) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.