Wallace Johnson, MD
NPI 1902833619 · Internal Medicine Physician · Fairport, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wallace Johnson, MD is a Internal Medicine Physician provider in Fairport, NY (NPI 1902833619).
Provider details
- NPI number
- 1902833619
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 200706 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
407 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 | 149 | $92 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 95 | $15 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 80 | $63 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 61 | $124 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 22 | $8 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 128 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 691 | 225 |
| Levothyroxine Sodium | 426 | 128 |
| Losartan Potassium | 356 | 101 |
| Omeprazole | 287 | 92 |
| Amlodipine Besylate | 269 | 88 |
| Metoprolol Succinate | 196 | 69 |
| Hydrochlorothiazide |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2023-07-03
Frequently asked questions
- What is Wallace Johnson's NPI number?
- Wallace Johnson's National Provider Identifier (NPI) is 1902833619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wallace Johnson's specialty?
- Wallace Johnson is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wallace Johnson located?
- Wallace Johnson's practice location on file with NPPES is 800 Ayrault Rd Ste 200, Fairport, NY 14450-8941.
- What is Wallace Johnson's phone number?
- The practice phone number listed in the NPPES registry for Wallace Johnson is (585) 602-2300.
- Does Wallace Johnson accept Medicare?
- Wallace Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Wallace Johnson's NPI active?
- Yes — Wallace Johnson's NPI (1902833619) is active in the NPPES registry as of the last update on 2023-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.