DR. JOHN ALEXANDER WALLINGTON (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1265819577

DR. JOHN ALEXANDER WALLINGTON (M.D.) is a healthcare provider. based in Royal oak, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 4301107103 (MI). The NPI Number for DR. JOHN ALEXANDER WALLINGTON (M.D.) is 1265819577

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN ALEXANDER WALLINGTON (M.D.)
NPI
1265819577
Phone
(248) 898-5000
Address
3601 W 13 Mile Rd
Enumeration Date
6 May 2015
Last Update Date
14 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
3033216600
Graduation Year
2015 (11 years ago)
PAC ID
2668765405
Group Practice PAC ID
2365714540
Professional Enrollment ID
I20210409001061
Address ID
CO802204053DE4700XPKWY303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

565 PHYSICAL MEDICINE AND REHABILITATION in MI

Provider Addresses for DR. JOHN ALEXANDER WALLINGTON (M.D.)

  • 3601 W 13 Mile Rd

    Royal Oak, MI 480736712

    Phone: (248) 898-5000

    Type: Location

  • 680 CENTRE ST

    BROCKTON, MA 023023308

    Phone: (508) 941-7000

    Type: Mailing

  • 110 LIBERTY ST

    BROCKTON, MA 023015674

    Phone: (508) 565-3055

    Fax: (508) 894-0757

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $289.

Total Amount is formed as General ($289) + Research ($0) + Ownership ($0) = $289.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Alphatec Spine, Inc ($126).

Total Amount

$289

General + Research + Ownership

Payments

6

Total payment records

General Amount

$289

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210409001061IPhysical Medicine And RehabilitationCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes214127$0
99213Established patient office or other outpatient visit, 20-29 minutes197121$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level12594$0
99204New patient office or other outpatient visit, 45-59 minutes111111$0
72100X-ray of lower and sacral spine, 2-3 views7373$0
View full utilization report →

Insurance plans in this area (ZIP 48073)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365714540View full group profile
NameSpecialtyState
-CO
-VA
Physical Therapist In Private PracticeCO
Occupational Therapist In Private PracticeTX
Physician AssistantCO
Physician AssistantCO
Orthopedic SurgeryCO
-CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JOHN ALEXANDER WALLINGTON (M.D.)?
DR. JOHN ALEXANDER WALLINGTON (M.D.) — NPI 1265819577 — is the standard way to identify this listing.
Can I rely on DR. JOHN ALEXANDER WALLINGTON (M.D.) being an active provider?
As of the registry snapshot, DR. JOHN ALEXANDER WALLINGTON (M.D.) is marked active.
What taxonomy line describes DR. JOHN ALEXANDER WALLINGTON (M.D.)?
For research purposes, treat DR. JOHN ALEXANDER WALLINGTON (M.D.) as Physical Medicine & Rehabilitation Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. JOHN ALEXANDER WALLINGTON (M.D.) serve?
DR. JOHN ALEXANDER WALLINGTON (M.D.)'s listing highlights Royal Oak, Michigan; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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