CARL BRADLEY WALLIS (MD) – Orthopaedic Surgery Physician, NPI 1396087623
Orthopaedic Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
252 ORTHOPEDIC SURGERY in NV
Provider Addresses for CARL BRADLEY WALLIS (MD)
10561 JEFFREYS ST STE 230
HENDERSON, NV 890524268
Phone: (702) 565-6565
Fax: (702) 565-8898
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $880.
Total Amount is formed as General ($880) + Research ($0) + Ownership ($0) = $880.
Last reported payment date: 2024-11-02 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($538).
Total Amount
$880
General + Research + Ownership
Payments
17
Total payment records
General Amount
$880
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $538 |
| DePuy Synthes Sales Inc. | $163 |
| restor3d, inc. | $138 |
| Orthofix Medical, Inc. | $17 |
| Goode Surgical Inc | $15 |
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: 2019-08-08
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 |
|---|---|---|---|---|
| I20190808002568 | I | Orthopedic Surgery | NV | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 723 | 378 | $0 |
| 73502 | X-ray of hip, 2-3 views | 246 | 169 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 225 | 120 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 216 | 132 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 194 | 194 | $0 |
Insurance plans in this area (ZIP 89052)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | NV | |
| Orthopedic Surgery | NV | |
| Orthopedic Surgery | NV | |
| Physical Therapist In Private Practice | NV | |
| Physical Therapist In Private Practice | NV | |
| Physical Therapist In Private Practice | NV | |
| Physical Therapist In Private Practice | NY | |
| Physical Therapist In Private Practice | NV | |
| Physical Therapist In Private Practice | NV | |
| Physical Therapist In Private Practice | IN |
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