DR. COREY J WALLACH (MD) – Orthopaedic Surgery of the Spine Physician, NPI 1417923863
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
843 ORTHOPEDIC SURGERY in VA
Provider Addresses for DR. COREY J WALLACH (MD)
2501 Parkers Ln Ste 200
Alexandria, VA 223063209
Phone: (703) 892-6500
Fax: (703) 521-3415
Type: Location
10716 Richmond Hwy Ste 100
Lorton, VA 220792644
Phone: (703) 892-6500
Type: Location
2800 S SHIRLINGTON RD STE 1100
ARLINGTON, VA 222063605
Phone: (703) 892-6500
Fax: (703) 892-1550
Type: Location
2445 Army Navy Drive
The Anderson Clinic
Arlington, VA 22206
Phone: (703) 892-6500
Fax: (703) 892-1550
Type: Location
2445, Army Navy Drive, Long Branch Creek, Shirlington, Arlington, Arlington County, Virginia, 22206, United States
THE ANDERSON CLINIC
ARLINGTON, VA 22206
Phone: (703) 892-6500
Fax: (703) 892-1550
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $13,009.
Total Amount is formed as General ($13,009) + Research ($0) + Ownership ($0) = $13,009.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($12,888).
Total Amount
$13,009
General + Research + Ownership
Payments
55
Total payment records
General Amount
$13,009
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $12,888 |
| Centinel Spine, LLC | $52 |
| Providence Medical Technology, Inc. | $43 |
| Stryker Corporation | $25 |
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: 2007-08-06
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 |
|---|---|---|---|---|
| I20070806000801 | I | Orthopedic Surgery | DC | 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 | 598 | 463 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 502 | 376 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 245 | 137 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 150 | 108 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 100 | 100 | $0 |
Insurance plans in this area (ZIP 22306)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | VA | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 32 | 32 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Physician Assistant | VA | |
| Orthopedic Surgery | TX | |
| Orthopedic Surgery | VA | |
| Orthopedic Surgery, Sports Medicine | VA | |
| Physician Assistant | VA | |
| Orthopedic Surgery | VA | |
| - | VA | |
| Physician Assistant | VA | |
| Orthopedic Surgery | PA |
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