MS. MARGARET L WALLACE (PA) – Physician Assistant, NPI 1366877060
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for MS. MARGARET L WALLACE (PA)
22100 Greenfield Rd
Suite 101
Oak Park, MI 482372550
Phone: (248) 968-4811
Fax: (248) 968-4822
Type: Location
22100 GREENFIELD RD
SUITE 101
OAK PARK, MI 482372550
Phone: (248) 968-4811
Fax: (248) 968-4822
Type: Location
1 FORD PL STE 3A
DETROIT, MI 482023450
Phone: (313) 874-4806
Type: Mailing
2799 W GRAND BLVD
DETROIT, MI 482022689
Phone: (313) 916-2895
Fax: (313) 916-8799
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 150 Open Payments records for all available years, with a total value of $3,194.
Total Amount is formed as General ($3,194) + Research ($0) + Ownership ($0) = $3,194.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Astellas Pharma US Inc ($350).
Total Amount
$3,194
General + Research + Ownership
Payments
150
Total payment records
General Amount
$3,194
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $350 |
| Amgen Inc. | $349 |
| Novartis Pharmaceuticals Corporation | $275 |
| Janssen Pharmaceuticals, Inc | $184 |
| Corium, LLC | $162 |
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: 2014-01-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140110000514 | I | Physician Assistant | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 93 | 67 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 68 | 53 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 63 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 61 | 48 | $0 |
| 71046 | X-ray of chest, 2 views | 31 | 28 | $0 |
Insurance plans in this area (ZIP 48237)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Gastroenterology, Internal Medicine | PA | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Clinical Social Worker | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Qualified Audiologist | MI | |
| O P H T H A L M O L O G Y | MI | |
| - | MI | |
| - | MI |
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