Gregory Wallace, D.O.
NPI 1558701250 · Family Medicine Physician · Fort Drum, NY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gregory Wallace, D.O. is a Family Medicine Physician provider in Fort Drum, NY (NPI 1558701250).
Provider details
- NPI number
- 1558701250
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
736 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 336 | $135 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 163 | $94 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 106 | $137 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 34 | $171 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 26 | $15 |
| Administration of Influenza Virus Vaccine |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 60 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 174 | 53 |
| Losartan Potassium | 106 | 33 |
| Levothyroxine Sodium | 103 | 29 |
| Amlodipine Besylate | 101 | 31 |
| Metformin Hcl | 81 | 25 |
| Gabapentin | 66 | 21 |
| Lisinopril |
Practice location
Mailing address
Additional practice locations (1)
- 2817 Reilly StWomack Army Medical CenterFort Bragg, NC 28310-7324Phone: (910) 907-8922Fax: (910) 907-6069
Registry dates
- Enumerated
- 2013-06-27
- Last updated
- 2018-07-27
Frequently asked questions
- What is Gregory Wallace's NPI number?
- Gregory Wallace's National Provider Identifier (NPI) is 1558701250, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gregory Wallace's specialty?
- Gregory Wallace is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gregory Wallace located?
- Gregory Wallace's practice location on file with NPPES is 11050 Mount Belvedere Blvd, Fort Drum, NY 13602.
- What is Gregory Wallace's phone number?
- The practice phone number listed in the NPPES registry for Gregory Wallace is (315) 772-5662.
- Does Gregory Wallace accept Medicare?
- Gregory Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gregory Wallace's NPI active?
- Yes — Gregory Wallace's NPI (1558701250) is active in the NPPES registry as of the last update on 2018-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.