SUSAN YOU WALLACE (PA-C) – Physician Assistant, NPI 1588226179
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,497 PHYSICIAN ASSISTANT in TX
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Provider Addresses for SUSAN YOU WALLACE (PA-C)
Midland College, 3600, North Garfield Street, Wadley Heights, Midland, Midland County, Texas, 79705, United States
MIDLAND, TX 797056329
Phone: (432) 620-1120
Type: Mailing
PO BOX 6408
SCOTTSDALE, AZ 852616408
Phone: (480) 563-6400
Fax: (480) 563-8009
Type: Mailing
875 N GREENFIELD RD STE 110
GILBERT, AZ 852345044
Phone: (480) 563-6400
Fax: (480) 563-8009
Type: Location
2034 E SOUTHERN AVE STE D
TEMPE, AZ 852827511
Phone: (480) 923-6200
Fax: (602) 419-3101
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $1,582.
Total Amount is formed as General ($1,582) + Research ($0) + Ownership ($0) = $1,582.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ABBVIE INC. ($405).
Total Amount
$1,582
General + Research + Ownership
Payments
39
Total payment records
General Amount
$1,582
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $405 |
| Nalu Medical, Inc. | $343 |
| Nevro Corp. | $333 |
| ITI, Inc. | $125 |
| Alkermes, Inc. | $119 |
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: 2021-01-06
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 |
|---|---|---|---|---|
| I20210106002607 | I | Physician Assistant | AZ | 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 | 238 | 117 | $0 |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 72 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 31 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 79705)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ |
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