MR. CHRISTOPHER G. WALLACE (PA) – Physician Assistant, NPI 1346528833

MR. CHRISTOPHER G. WALLACE (PA) is a healthcare provider. based in San antonio, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA01290 (TX). The NPI Number for MR. CHRISTOPHER G. WALLACE (PA) is 1346528833

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHRISTOPHER G. WALLACE (PA)
NPI
1346528833
Phone
(210) 614-3900
Address
12770 CIMARRON PATH
Enumeration Date
1 August 2011
Last Update Date
12 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4324473551
Graduation Year
1994 (32 years ago)
PAC ID
6204812175
Group Practice PAC ID
2567353469
Professional Enrollment ID
I20040629001606
Address ID
TX797722251PE2349XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MR. CHRISTOPHER G. WALLACE (PA)

  • 12770 CIMARRON PATH

    SUITE 132

    SAN ANTONIO, TX 782493427

    Phone: (210) 614-3900

    Type: Mailing

  • 2349 MEDICAL DR

    PECOS, TX 797722251

    Phone: (432) 447-3551

    Type: Mailing

  • 2335 MEDICAL DR

    PECOS, TX 797722251

    Phone: (432) 447-3551

    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 $129.

Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.

Last reported payment date: 2024-08-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($59).

Total Amount

$129

General + Research + Ownership

Payments

6

Total payment records

General Amount

$129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-23

Latest reported date

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: 2004-06-29

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
I20040629001606IPhysician AssistantTXTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg81496$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg28759$0
96372Injection of drug or substance under skin or into muscle194150$0
J0696Injection, ceftriaxone sodium, per 250 mg18526$0
99214Established patient office or other outpatient visit, 30-39 minutes141112$0
View full utilization report →

Insurance plans in this area (ZIP 78249)

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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: 2567353469View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TX
Physician AssistantTX
Registered Dietitian Or Nutrition ProfessionalTX
Family Practice, Obstetrics/GynecologyOK
-TX
Nurse PractitionerTX
Internal MedicineTX
Family PracticeTX

Reviews

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Frequently asked questions

What unique ID ties claims to MR. CHRISTOPHER G. WALLACE (PA)?
NPI 1346528833 is assigned to MR. CHRISTOPHER G. WALLACE (PA) under the national enumeration system.
Is MR. CHRISTOPHER G. WALLACE (PA)'s NPI currently valid?
The extract we use shows MR. CHRISTOPHER G. WALLACE (PA) as active.
Does MR. CHRISTOPHER G. WALLACE (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for MR. CHRISTOPHER G. WALLACE (PA). Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. CHRISTOPHER G. WALLACE (PA)?
The page summarizes San Antonio, Texas for MR. CHRISTOPHER G. WALLACE (PA); expand the address list for detail.
Is MR. CHRISTOPHER G. WALLACE (PA) a real provider?
This page reflects official NPPES data for NPI 1346528833. Always confirm identity and privileges with the practice and licensing boards.

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