Colby Wallace, PA
NPI 1396477840 · Physician Assistant · Henderson, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Colby Wallace, PA is a Physician Assistant provider in Henderson, NC (NPI 1396477840).
Provider details
- NPI number
- 1396477840
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 0010-12596 (NC)
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 tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
365 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 95 | $72 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 47 | $88 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 45 | $100 |
| Amplifed Dna Or Rna Probe Detection of Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19) Antigen87635 | 44 | $50 |
| Automated Urinalysis Test81003 | 40 | $2 |
| Detection Test By Nucleic Acid for Strep (streptococcus, Group A), Amplified Probe Technique87651 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 42 | 42 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 30 | 30 |
| Doxycycline Hyclate | 24 | 24 |
| Prednisone | 22 | 21 |
| Azithromycin | 20 | 20 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 19 | 19 |
| Methylprednisolone | 19 | 19 |
Practice location
Mailing address
Additional practice locations (1)
- 781 Avent Ferry Rd Ste 102Holly Springs, NC 27540-7776Phone: (919) 567-6120
Registry dates
- Enumerated
- 2022-06-24
- Last updated
- 2023-09-27
- Certified
- 2023-09-27
Frequently asked questions
- What is Colby Wallace's NPI number?
- Colby Wallace's National Provider Identifier (NPI) is 1396477840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Colby Wallace's specialty?
- Colby Wallace is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Colby Wallace located?
- Colby Wallace's practice location on file with NPPES is 566 Ruin Creek Rd, Henderson, NC 27536-2927.
- What is Colby Wallace's phone number?
- The practice phone number listed in the NPPES registry for Colby Wallace is (919) 461-0017.
- Does Colby Wallace accept Medicare?
- Colby Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Colby Wallace's NPI active?
- Yes — Colby Wallace's NPI (1396477840) is active in the NPPES registry as of the last update on 2023-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.