Philly Wall, P.A.
NPI 1497894117 · Physician Assistant · Cedar Rapids, IA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Philly Wall, P.A. is a Physician Assistant provider in Cedar Rapids, IA (NPI 1497894117).
Provider details
- NPI number
- 1497894117
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- License
- 001778 (IA)
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
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,816 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) |
|---|---|---|
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 484 | $49 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 231 | $71 |
| Remote Monitoring of Physiologic Parameters, Initial Supply of Devices With Daily Recordings Or Programmed Alerts Transmission, Each 30 Days99454 | 230 | $36 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 218 | $100 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, First 20 Minutes99457 | 197 | $38 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent Visit |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 126 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 604 | 155 |
| Levothyroxine Sodium | 296 | 69 |
| Lisinopril | 252 | 69 |
| Omeprazole | 230 | 67 |
| Amlodipine Besylate | 215 | 67 |
| Pantoprazole Sodium | 191 | 57 |
| Metoprolol Succinate |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2021-11-18
- Certified
- 2021-11-18
Frequently asked questions
- What is Philly Wall's NPI number?
- Philly Wall's National Provider Identifier (NPI) is 1497894117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Philly Wall's specialty?
- Philly Wall is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Philly Wall located?
- Philly Wall's practice location on file with NPPES is 830 4th Ave Se Ste 1, Cedar Rapids, IA 52403-2445.
- What is Philly Wall's phone number?
- The practice phone number listed in the NPPES registry for Philly Wall is (402) 650-6765.
- Does Philly Wall accept Medicare?
- Philly Wall is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Philly Wall's NPI active?
- Yes — Philly Wall's NPI (1497894117) is active in the NPPES registry as of the last update on 2021-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.