Ray Wallace, PA
NPI 1720014624 · Physician Assistant · Savannah, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ray Wallace, PA is a Physician Assistant provider in Savannah, GA (NPI 1720014624).
Provider details
- NPI number
- 1720014624
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 000935 (GA)
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
20 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
514 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 Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 168 | $43 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 154 | $57 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 60 | $69 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 41 | $89 |
| X-Ray of Lower and Sacral Spine, Minimum of 4 Views72110 | 31 | $38 |
| X-Ray of Shoulder, Minimum of 2 Views73030 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methylprednisolone | 111 | 86 |
| Meloxicam | 51 | 28 |
| Tizanidine Hcl | 43 | 22 |
| Cyclobenzaprine Hcl | 41 | 28 |
| Tramadol Hcl | 32 | 28 |
| Acetaminophen With Codeinebrand: Acetaminophen-Codeine | 25 | 21 |
| Gabapentin | 23 | 16 |
Practice location
Mailing address
Additional practice locations (1)
- 101 St Josephs Candler Dr Fl 1Pooler, GA 31322-9579Phone: (912) 355-6615Fax: (912) 351-0645
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2021-02-23
- Certified
- 2021-02-23
Frequently asked questions
- What is Ray Wallace's NPI number?
- Ray Wallace's National Provider Identifier (NPI) is 1720014624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ray Wallace's specialty?
- Ray Wallace is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ray Wallace located?
- Ray Wallace's practice location on file with NPPES is 4425 Paulsen St, Savannah, GA 31405-3662.
- What is Ray Wallace's phone number?
- The practice phone number listed in the NPPES registry for Ray Wallace is (912) 355-6615.
- Does Ray Wallace accept Medicare?
- Ray Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ray Wallace's NPI active?
- Yes — Ray Wallace's NPI (1720014624) is active in the NPPES registry as of the last update on 2021-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.