Provider Profile
Jeffrey W. Wallace, PA-C is a physician assistant practicing in Wentzville, MO. Jeffrey is also listed as specializing in physician assistant — medical and physician assistant — surgical. Medicare claims data shows Jeffrey provided 441 services to 293 patients. The services billed most often include x-ray of foot, minimum of 3 views, established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more, and x-ray of ankle, minimum of 3 views.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
1601 WENTZVILLE PKWY STE 117
Wentzville, MO 63385
112 Piper Hill Dr First Floor
Saint Peters, MO 63376
441 services · 293 patients · 7 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| X-ray of foot, minimum of 3 views | Imaging | 73630 |
130 |
| X-ray of ankle, minimum of 3 views | Imaging | 73610 |
97 |
| X-ray of heel, minimum of 2 views | Imaging | 73650 |
24 |
| X-ray of foot, 2 views | Imaging | 73620 |
23 |
| Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | Office visit | 99212 |
107 |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
35 |
| New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | Office visit | 99203 |
25 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Jeffrey W. Wallace is a physician assistant in Wentzville, MO. That is the designation recorded for this NPI in the federal registry.
NPI registry
Jeffrey W. Wallace is listed at 1601 Wentzville Pkwy Ste 117, Wentzville, MO 63385. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (636) 332-8477. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Jeffrey W. Wallace's National Provider Identifier is 1649479171. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Jeffrey W. Wallace attended Other, graduating in 2004. This comes from the CMS National Downloadable File.
CMS public data
Jeffrey W. Wallace has 22 years experience. Calculated from a graduation year of 2004, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Jeffrey W. Wallace performs imaging including x-ray of foot, minimum of 3 views and x-ray of ankle, minimum of 3 views, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Jeffrey W. Wallace. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.